Individual
MATTHEW BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1695
(636) 949-4949
Mailing address
8814 OAK CREEK DR, SAINT LOUIS, MO 63126-2130
(402) 203-3457
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
2016032815
MO
2255A2300X
Athletic Trainer
Primary
2016032815
MO
Other
Enumeration date
02/08/2017
Last updated
09/04/2020
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