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Individual

DR. HAZEL E BOWEN-WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3022 JAVIER RD, SUITES 105G, FAIRFAX, VA 22031-4645
(703) 676-3433
(703) 676-3438
Mailing address
3022 JAVIER RD, SUITES 105G, FAIRFAX, VA 22031-4645
(703) 676-3433
(703) 676-3438

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101235232
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
D0056768
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003
CAREFIRST
01
116536
JHHC
01
3945866
AETNA HMO
05
407289800
MD
01
5388737
AETNA PPO
01
64524901
CAREFIRST
01
64524902
CAREFIRST
01
64524903
CAREFIRST
01
64524904
CAREFIRST
01
64524905
CAREFIRST
01
64524906
CAREFIRST
Enumeration date
07/20/2005
Last updated
10/07/2014
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