Individual
JONATHAN LESLIE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 16TH AVENUE NORTH, NAMPA, ID 83653
(208) 466-7869
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 466-7869
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M5742
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497703169
—
ID
Enumeration date
05/05/2006
Last updated
04/07/2014
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