Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-48723 | IA |
N | 111NI0900X | Internist | MD-48723 | IA |
N | 207R00000X | Internist | R-10501 | IA |
N | 111NI0900X | Internist | R-10501 | IA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD-48723 | IA |
NPI | 1003264185 |
---|---|
Provider Name | Dr. Elizabeth R Bowen |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2016 |
Last Update Date | 13/09/2021 |