Organization
PHILLIP R. BOWDEN, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEANDRIA F EVANS (ADMINISTRATOR)
(901) 272-7200
Entity
Organization
Contact information
Practice address
1417 MONROE AVE, MEMPHIS, TN 38104-3634
(901) 272-7200
(901) 260-5916
Mailing address
1417 MONROE AVE, MEMPHIS, TN 38104-3634
(901) 272-7200
(901) 260-5916
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709199
—
TN
Enumeration date
08/23/2006
Last updated
10/03/2019
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