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NPI Code Detail

MEDICARE: JOHN CLAY BOWEN DO

MEDICARE: JOHN CLAY BOWEN DO
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 Physician5863OK

General Provider Information

NPI Number : 1063801660
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN CLAY BOWEN DO
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 S ELM PL STE 120
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-7816
Country : US
Telephone Number : 918-451-5191
Fax Number : 918-449-4653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 12/17/2025

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Directions to “ JOHN CLAY BOWEN DO” Practice Location

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