Individual
COLLIN BOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 480-8066
Mailing address
PO BOX 122108 DEPT 2108, DALLAS, TX 75312-2108
(337) 480-8066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307923
LA
Other
Enumeration date
06/18/2014
Last updated
02/19/2018
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