Organization
TRIWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY T BOWERS (PROVIDER)
(951) 695-1477
Entity
Organization
Contact information
Practice address
31001 DULCE CT, TEMECULA, CA 92592-6020
(951) 695-1477
Mailing address
31001 DULCE CT, TEMECULA, CA 92592-6020
(951) 695-1477
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C0965984
CA
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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