Individual
BENJAMIN CLEMENS BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1253 MAKALAPA GATE RD BLDG 1407, JBPHH, HI 96860-4479
(334) 520-9557
Mailing address
1016 PUAKALA ST, HONOLULU, HI 96818-4445
(334) 520-9557
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
E1922057
TX
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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