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NPI Code Detail

MEDICARE: DR. RICK THOMAS BOWERS M.D.

MEDICARE: DR. RICK THOMAS BOWERS M.D.
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
12084P0804XChild & Adolescent Psychiatry Physician35059272OH

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 : 1396784450
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICK THOMAS BOWERS M.D.
Provider Business Mailing Address
First Line : 3095 KETTERING BOULEVARD
Second Line :
City : DAYTON
State : OH
Zip : 45439
Country : US
Telephone Number : 937-293-8300
Fax Number : 937-534-1579
Provider Business Practice Location Address
First Line : 3095 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1983
Country : US
Telephone Number : 937-293-8300
Fax Number : 937-534-1579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 02/17/2012

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