MEDICARE: DINA BOWERS

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
1	176B00000X	Midwife	0000142	CO

General Provider Information

NPI Number	:	1356683262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA BOWERS

Provider Business Mailing Address
First Line	:	956 COUNTY ROAD 106
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-2302
Country	:	US
Telephone Number	:	970-948-7665
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 BLAKE AVE STE 2C
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4269
Country	:	US
Telephone Number	:	970-948-7665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2013
Last Update Date	:	05/15/2014

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Directions to “ DINA BOWERS ” Practice Location

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