| NPI | 1295325611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON DEAN BOWMAN President 430-200-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-02-26 |