Individual
DR. MITCHEAL BLANE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
409 N CEDAR ST, FLORENCE, AL 35630-5405
(256) 766-3062
(256) 767-1804
Mailing address
409 N CEDAR ST, FLORENCE, AL 35630-5405
(256) 766-3062
(256) 767-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.925
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516936
—
OH
Enumeration date
08/23/2005
Last updated
07/08/2007
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