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Individual

DIANA KATHERINE BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
036.135295
IL
208800000X
Urology Physician
Primary
036135295
IL
208800000X
Urology Physician
125.057400
IL
2088P0231X
Pediatric Urology Physician
036.135295
IL
2088P0231X
Pediatric Urology Physician
MT210494
PA

Other

Enumeration date
06/07/2010
Last updated
11/27/2023
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