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Individual

DR. DANIEL LAYNE BOWLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
122 TAZEWELL ST, PEARISBURG, VA 24134-1632
(540) 921-3921
(540) 921-1328
Mailing address
PO BOX 638, 122 TAZEWELL STREET, PEARISBURG, VA 24134-0638
(540) 921-3921
(540) 921-1328

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000310
VA
152W00000X
Optometrist
710D
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004178
ANTHEM HEALTHKEEPERS
VA
01
004178
BLUE CROSS BLUE SHIELD
05
009204504
VA
01
1461175
UNITED MINEWORKERS OF AME
01
4540178
AETNA
Enumeration date
03/22/2006
Last updated
09/18/2008
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