Individual
HOLLY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
510 SMALTZ WAY, AUBURN, IN 46706-0612
(260) 927-1756
(260) 927-1772
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 927-1756
(260) 927-1772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003016A
IN
Other
Enumeration date
07/31/2020
Last updated
12/19/2022
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