Healthcare Provider Details

I. General information

NPI: 1134389299
Provider Name (Legal Business Name): ANN MARGARET BOWDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 10/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 W 69TH ST SUITE 1500
SIOUX FALLS SD
57108-8170
US

IV. Provider business mailing address

4012 S THUNDERBIRD TRL
SIOUX FALLS SD
57103-4562
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-5700
  • Fax:
Mailing address:
  • Phone: 605-373-9658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number9286
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: