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Individual

RONALD D BOWE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 522-1111
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4381

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20940
WV
207R00000X
Internal Medicine Physician
Primary
20940
WV
208000000X
Pediatrics Physician
20940
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001804241
BLUE CROSS BLUE SHIELD
WV
05
2804004
OH
05
3810003125
WV
05
7100033390
KY
Enumeration date
04/19/2006
Last updated
03/23/2009
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