Individual
JOEL T BOWEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13555 W MCDOWELL RD, STE 301, GOODYEAR, AZ 85395-2624
(623) 848-0123
(623) 848-1173
Mailing address
13555 W MCDOWELL RD, STE 301, GOODYEAR, AZ 85395-2629
(623) 848-0123
(623) 848-1153
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681639
—
AZ
Enumeration date
10/09/2008
Last updated
07/15/2015
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