Individual
MR. JOHN BRADFORD BOWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1651 GALISTEO ST STE 5, SANTA FE, NM 87505
(505) 983-0286
(505) 983-9203
Mailing address
1651 GALISTEO ST STE 5, SANTA FE, NM 87505
(505) 983-0286
(505) 983-9203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
H6065
TX
207N00000X
Dermatology Physician
Primary
MD2015-0592
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131854503
—
TX
01
—
8AW453
BCBS
TX
01
—
L27J
BCBS
TX
Enumeration date
03/22/2006
Last updated
10/23/2020
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