Individual
RANDALL J BOWMAN
Active
Individual
RANDALL J BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101037433
VA
207R00000X
Internal Medicine Physician
35-053984
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
653645
—
OH
01
—
C06778
GROUP PTAN
VA
01
—
P00215684
RAILROAD
OH
Enumeration date
06/30/2006
Last updated
07/15/2014
Update your record
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