Individual
JACOB REED BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
220 N PINE, MAGNOLIA, AR 71753-2905
(870) 234-4444
(870) 234-0420
Mailing address
220 N PINE, MAGNOLIA, AR 71753-2905
(870) 234-4444
(870) 234-0420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2053-IOD
WV
152W00000X
Optometrist
Primary
2793
AR
Other
Enumeration date
08/16/2018
Last updated
05/28/2020
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