Individual
DR. RICHARD P BOWLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 KENTUCKY, WEST PLAINS, MO 65775
(417) 256-2111
(417) 256-4858
Mailing address
805 KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 256-2111
(417) 256-4858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8E37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080026433
MEDICARE RR
—
05
—
599002307
—
MO
05
—
599022308
—
MO
05
—
620492108
—
MO
Enumeration date
06/23/2005
Last updated
01/23/2008
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