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NPI Code Detail

MEDICARE: KIRK GEORGE BOWDEN DO

MEDICARE:   KIRK GEORGE BOWDEN  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
1207LP2900XPain Medicine (Anesthesiology) Physician005571AZ

General Provider Information

NPI Number : 1255592994
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRK GEORGE BOWDEN DO
Provider Business Mailing Address
First Line : 10238 E HAMPTON AVE STE 416
Second Line :
City : MESA
State : AZ
Zip : 85209-3320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10238 E HAMPTON AVE STE 416
Second Line :
City : MESA
State : AZ
Zip : 85209-3320
Country : US
Telephone Number : 480-461-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/04/2021

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Directions to “ KIRK GEORGE BOWDEN DO” Practice Location

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