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Individual

JEFFREY RYAN BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
220 E 37TH ST APT F8, DAVENPORT, IA 52806-6036
(641) 242-0033

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A179090
IA
363LF0000X
Family Nurse Practitioner
Primary
A179090
IA

Other

Enumeration date
05/20/2024
Last updated
08/01/2024
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