Individual
DR. BRADLEY BLAKE BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 WASHINGTON ST, STE # 601, SAN DIEGO, CA 92103-2213
(619) 944-4130
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-4433
(858) 784-5645
(858) 784-5644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G85574
CA
2083X0100X
Occupational Medicine Physician
G85574
CA
Other
Enumeration date
07/30/2006
Last updated
04/09/2010
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