| NPI | 1801945043 |
|---|---|
| Other Name | J. RUSSEELL BOWEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME162623) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 20839) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-07-31 |