Organization
MATTHEW BOWMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J BOWMAN OD (OWNER)
(314) 503-9531
Entity
Organization
Contact information
Practice address
94 CECIL ST, CAMDENTON, MO 65020-7057
(573) 317-9279
Mailing address
1811 PHEASANT RUN DR, MARYLAND HEIGHTS, MO 63043-2870
(314) 503-9531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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