Individual
MS. PEYTON BOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008838
IL
363A00000X
Physician Assistant
2023009300
MO
Other
Enumeration date
01/11/2021
Last updated
02/14/2024
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