Individual
CORINE H. BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1007 GOULD DR BUILDING 3, SUITE 4, BOSSIER CITY, LA 71111-4971
(318) 584-7319
(318) 584-7322
Mailing address
PO BOX 52364, SHREVEPORT, LA 71135-2364
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023946
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486493
—
LA
Enumeration date
05/13/2006
Last updated
04/07/2017
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