Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 016216 | ME |
NPI | 1003998337 |
---|---|
Provider Name | Dr. Christopher T Bowe |
First Address | Portland, ME 04102-3134 |
Second Address | Portland, ME 04102-3134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 26/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H65181 | (02) |