Individual
BRYAN DANIEL STOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 SOLANO ST STE A, CORNING, CA 96021-3454
(530) 824-3283
Mailing address
1449 LAS ENCINAS DR, LOS OSOS, CA 93402-4501
(208) 241-2231
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 20995
CA
Other
Enumeration date
09/25/2010
Last updated
09/25/2010
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