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NPI Code Detail

MEDICARE: CHARLES BRET BOWLING MD

MEDICARE:   CHARLES BRET BOWLING  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
1207Q00000XFamily Medicine Physician105867MO

General Provider Information

NPI Number : 1538155338
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES BRET BOWLING MD
Provider Business Mailing Address
First Line : 102 E CLEVELAND AVE
Second Line :
City : MONETT
State : MO
Zip : 65708-1405
Country : US
Telephone Number : 417-235-0088
Fax Number : 417-235-0101
Provider Business Practice Location Address
First Line : 102 E CLEVELAND AVE
Second Line :
City : MONETT
State : MO
Zip : 65708-1405
Country : US
Telephone Number : 417-235-0088
Fax Number : 417-235-0101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 04/23/2010

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Directions to “ CHARLES BRET BOWLING MD” Practice Location

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