Individual
EDITH G BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2001 S SHIELDS ST STE J1, FORT COLLINS, CO 80526-1837
(970) 206-0100
(970) 206-0100
Mailing address
2001 S SHIELDS ST STE J1, FORT COLLINS, CO 80526-1837
(970) 206-0100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74277227
—
CO
Enumeration date
10/24/2005
Last updated
03/31/2011
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