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NPI Code Detail

MEDICARE: DR. JOHN DOUGLAS BOWERS MD

MEDICARE: DR. JOHN DOUGLAS BOWERS 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
12085R0202XDiagnostic Radiology Physician19344OK

Other Identifiers

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

General Provider Information

NPI Number : 1235195355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DOUGLAS BOWERS MD
Provider Business Mailing Address
First Line : PO BOX 95818
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73143-5818
Country : US
Telephone Number : 405-632-2323
Fax Number : 405-631-9315
Provider Business Practice Location Address
First Line : 4625 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3831
Country : US
Telephone Number : 405-632-2323
Fax Number : 405-631-9315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 03/24/2008

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Directions to “ DR. JOHN DOUGLAS BOWERS MD” Practice Location

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