Individual
DR. SCOTT EDWARD BOWLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5440 CLARE RD, SHAWNEE, KS 66226-2811
(913) 422-3861
(913) 322-9126
Mailing address
5440 CLARE RD, SHAWNEE, KS 66226-2811
(913) 422-3861
(913) 322-9126
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22870
KS
207QG0300X
Geriatric Medicine (Family Medicine) Physician
R5P18
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080069169
RLRD MEDICARE-TRAVELER'S
KS
01
—
080069169
RAILRD MEDICARE-TRAVELERS
MO
05
—
242097806
—
MO
Enumeration date
12/13/2005
Last updated
04/29/2008
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