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NPI Code Detail

MEDICARE: DR. LEONARD MICHAEL BOWEN M.D.

MEDICARE: DR. LEONARD MICHAEL BOWEN 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
1207RH0003XHematology & Oncology Physician11976OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111976OTHEROKSTATE OF OKLAHOMA

General Provider Information

NPI Number : 1851344048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD MICHAEL BOWEN M.D.
Provider Business Mailing Address
First Line : 1011 N DEWEY AVE
Second Line : 100
City : OKLAHOMA CITY
State : OK
Zip : 73102-1024
Country : US
Telephone Number : 405-228-7100
Fax Number : 405-228-7150
Provider Business Practice Location Address
First Line : 1011 N DEWEY AVE
Second Line : 100
City : OKLAHOMA CITY
State : OK
Zip : 73102-1024
Country : US
Telephone Number : 405-228-7100
Fax Number : 405-228-7150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/30/2020

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