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Individual

DR. MARY KATHRYN BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 272-4300
(319) 272-4411
Mailing address
905 FRANKLIN ST, WATERLOO, IA 50703-4407
(319) 874-3000
(319) 874-3411

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16195
NE
208000000X
Pediatrics Physician
2012001377
MO
208000000X
Pediatrics Physician
Primary
MD42989
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076372
IA
Enumeration date
08/05/2008
Last updated
04/30/2018
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