Individual
IAN BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 POTRERO AVENUE, BLDG. 5, #4M, SAN FRANCISCO, CA 94110-3518
(628) 206-5476
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20924
CA
207Y00000X
Otolaryngology Physician
5101024129
MI
Other
Enumeration date
06/14/2018
Last updated
06/09/2023
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