Individual
DAVID T BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72650 FRED WARING DR, SUITE 109, PALM DESERT, CA 92260-5006
(760) 837-7200
(760) 837-7201
Mailing address
72650 FRED WARING DR, SUITE 109, PALM DESERT, CA 92260-5006
(760) 837-7200
(760) 837-7201
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
A60193
CA
208200000X
Plastic Surgery Physician
Primary
A60193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240007820
RRMCR
CA
Enumeration date
06/30/2006
Last updated
04/17/2014
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