Individual
DR. CASEY RYAN BOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
404 BLACK HILLS LN SW STE B, OLYMPIA, WA 98502-8148
(360) 943-1400
(360) 943-0660
Mailing address
1610 BISHOP RD SW STE 101, TUMWATER, WA 98512-7303
(360) 338-0004
(360) 515-0744
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO60653492
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60653492
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2013
Last updated
05/20/2021
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