Individual
DEREK JAY BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
543 EASTON TPKE STE 105, LAKE ARIEL, PA 18436-4798
(570) 689-9965
(570) 689-0387
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7787
AK
207Q00000X
Family Medicine Physician
Primary
MD464962
PA
Other
Enumeration date
06/27/2013
Last updated
11/20/2018
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