Organization
RICKY D BOWLIN, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY D BOWLIN MD (OWNER)
(937) 548-5114
Entity
Organization
Contact information
Practice address
130 WEST MARTZ STREET, SUITE 3, GREENVILLE, OH 45331
(937) 548-5114
Mailing address
130 WEST MARTZ STREET, SUITE 3, GREENVILLE, OH 45331
(937) 548-5114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35066556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208211
—
OH
Enumeration date
04/18/2007
Last updated
06/28/2010
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