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NPI Code Detail

MEDICARE: BRIAN EDWARD BOWSER D.M.D.

MEDICARE: BRIAN EDWARD BOWSER D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDS037204PA

General Provider Information

NPI Number : 1013111426
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN EDWARD BOWSER D.M.D.
Provider Business Mailing Address
First Line : 2161 E MARKET ST
Second Line :
City : YORK
State : PA
Zip : 17402-2848
Country : US
Telephone Number : 717-757-3474
Fax Number :
Provider Business Practice Location Address
First Line : 2161 E MARKET ST
Second Line :
City : YORK
State : PA
Zip : 17402-2848
Country : US
Telephone Number : 717-757-3474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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