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Individual

MATTHEW RICHARD BOWER

Active
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Individual

MATTHEW RICHARD BOWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N7400
TX
2086X0206X
Surgical Oncology Physician
Primary
N7400
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3581771000
PASSPORT ADVANTAGE
KY
01
50021606
PASSPORT
KY
05
7100067280
KY
Enumeration date
05/21/2007
Last updated
12/03/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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