Individual
DEVIN S BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3950 17TH ST, SUITE A, BAKER CITY, OR 97814-1300
(541) 523-1001
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA159824
OR
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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