| NPI | 1588168215 |
|---|---|
| Doing Business As | BOWLING GREEN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DENISE FOSTER Owner 636-358-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-03-18 |