Individual
MATTHEW B BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3430
(540) 776-2051
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3430
(540) 776-2051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942236948
—
VA
Enumeration date
06/23/2006
Last updated
05/16/2017
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