Individual
BRUCE K BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 E VALLEY RD, SUITE 101, BASALT, CO 81621-8352
(970) 927-1444
Mailing address
1450 E VALLEY RD, SUITE 101, BASALT, CO 81621-8304
(970) 927-1444
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO37578
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09670262
—
CO
Enumeration date
09/27/2005
Last updated
05/27/2009
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