Individual
LEO CLAYTON BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 WINE ST, HAMPTON, VA 23669-3584
(757) 728-1100
(757) 728-0870
Mailing address
26 WINE ST, HAMPTON, VA 23669-3584
(757) 728-1100
(757) 728-0870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101033148
VA
208M00000X
Hospitalist Physician
0101033148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005114
ANTHEM
VA
05
—
5637341
—
VA
Enumeration date
09/22/2006
Last updated
02/21/2025
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