Healthcare Provider Details

I. General information

NPI: 1114217908
Provider Name (Legal Business Name): ROBERT FRANCIS BOWERS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 05/21/2020
Certification Date: 05/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14450 NE 29TH PL STE 230
BELLEVUE WA
98007-8616
US

IV. Provider business mailing address

14450 NE 29TH PL STE 230
BELLEVUE WA
98007-8616
US

V. Phone/Fax

Practice location:
  • Phone: 425-998-7884
  • Fax:
Mailing address:
  • Phone: 425-998-7884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2016009811
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number60846740
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number2016009811
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: