Individual
DR. ARCHIE VERNARD BOWIE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5332
Mailing address
701 W 5TH ST, ODESSA, TX 79763
(432) 703-5290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10061418
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10061418
TX
Other
Enumeration date
06/07/2017
Last updated
06/22/2017
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