Individual
GARY WAYNE BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16501 N EL MIRAGE RD, 240, SURPRISE, AZ 85378-3600
(469) 964-1960
Mailing address
16501 N EL MIRAGE RD, 240, SURPRISE, AZ 85378-3600
(469) 964-1960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D5922
TX
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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