Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 28983 | OK |
NPI | 1053581496 |
---|---|
Provider Name | Dr. Ashley B Bowen |
First Address | Oklahoma City, OK 73120-5039 |
Second Address | Oklahoma City, OK 73120-5039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 14/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200438140A | (05) | OK |