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NPI Code Detail

MEDICARE: GEORGE S BOWEN MD

MEDICARE: GEORGE S BOWEN MD
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
1207X00000XOrthopaedic Surgery Physician27371CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497775449
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE S BOWEN MD
Provider Business Mailing Address
First Line : PO BOX 76510
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80970-6510
Country : US
Telephone Number : 719-638-8844
Fax Number : 719-638-8115
Provider Business Practice Location Address
First Line : 1322 N ACADEMY BLVD STE 204
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-3320
Country : US
Telephone Number : 719-638-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/02/2019

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