Individual
RYAN THOMAS BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 YELLOWSTONE AVE, CODY, WY 82414
(307) 527-7561
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6203A
WY
207Q00000X
Family Medicine Physician
MD426618
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101392300
—
PA
Enumeration date
08/14/2006
Last updated
10/05/2020
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