Individual
RICHARD BOXLEY BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13890 BRADDOCK RD, 201, CENTREVILLE, VA 20121-2435
(703) 631-0331
(703) 631-2573
Mailing address
13890 BRADDOCK RD, 201, CENTREVILLE, VA 20121-2435
(703) 631-0331
(703) 631-2573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101020513
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-0962166
TAX ID #
VA
Enumeration date
07/07/2006
Last updated
07/08/2007
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