Individual
DR. BRADLEY N BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1172 STATE ROUTE 487, PAXINOS, PA 17860-7570
(866) 995-3937
Mailing address
88 HARDEES DR, MIFFLINBURG, PA 17844-7062
(570) 538-6002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102747277
—
PA
Enumeration date
06/25/2012
Last updated
01/14/2021
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