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NPI Code Detail

MEDICARE: MRS. BROOKE N BOWEN HAD

MEDICARE:  MRS. BROOKE N BOWEN  HAD
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
1237700000XHearing Instrument Specialist0000418CO

General Provider Information

NPI Number : 1659988657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE N BOWEN HAD
Provider Business Mailing Address
First Line : PO BOX 354
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80866-0354
Country : US
Telephone Number : 719-539-6566
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST STE 135
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-5011
Country : US
Telephone Number : 719-539-6566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2020
Last Update Date : 09/24/2020

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Directions to “ MRS. BROOKE N BOWEN HAD” Practice Location

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