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Individual

MICHAEL A BOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
415 N VAL VISTA DR, SUITE 101, MESA, AZ 85213-7058
(480) 654-5661
(480) 654-5663
Mailing address
890 W ELLIOT RD, SUITE 103, GILBERT, AZ 85233-5102
(480) 545-2787
(480) 545-1434

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5359
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
810804
AZ
Enumeration date
10/01/2010
Last updated
09/23/2013
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