Organization
SCOTT EDWARD BOWLIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BOWLIN DO (OWNER)
(816) 321-2543
Entity
Organization
Contact information
Practice address
1515 W WHITE OAK ST, INDEPENDENCE, MO 64050-2557
(816) 321-2543
(816) 873-1121
Mailing address
5440 CLARE RD, SHAWNEE, KS 66226-2811
(816) 321-2543
(816) 873-1121
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R5P18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080069169
RAILROAD MEDICARE TRAVELERS
MO
01
—
11078057
BLUE CROSS & BLUE SHIELD OF KANSAS CITY
—
01
—
39049
COVENTRY/ADVANTRA
MO
01
—
5053741
CIGNA
—
Enumeration date
01/06/2017
Last updated
01/06/2017
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