NPI | 1144980103 |
---|---|
Other Name | JOSHUA DAVID BOWLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA208645) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA.PA.61234184) |
Enumeration Date | 2021-12-17 |
Last Update Date | 2022-02-24 |