Individual
DR. MATTHEW STILES BOWDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1528 EUREKA RD STE 102, ROSEVILLE, CA 95661-3047
(916) 736-6644
(916) 774-0143
Mailing address
1111 EXPOSITION BLVD BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3399
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
044700
CT
207K00000X
Allergy & Immunology Physician
Primary
A92192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090065
—
CA
01
—
CA229333
MEDICARE
CA
Enumeration date
12/24/2007
Last updated
04/18/2023
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