MEDICARE: DR. DAVID B BOWNE 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
1	174400000X	Specialist	112829	MO
2	207Y00000X	Otolaryngology Physician	37858	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1730184714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID B BOWNE M.D.

Provider Business Mailing Address
First Line	:	1010 E MCDOWELL RD STE LL1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2606
Country	:	US
Telephone Number	:	602-956-1250
Fax Number	:	602-956-7466

Provider Business Practice Location Address
First Line	:	4400 N 32ND ST STE 220
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3965
Country	:	US
Telephone Number	:	602-956-1250
Fax Number	:	602-956-7466

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/14/2020

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Directions to “ DR. DAVID B BOWNE M.D.” Practice Location

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