Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | C26824 | CA |
NPI | 1174727721 |
---|---|
Provider Name | Dr. Robert Arnold Bowman |
First Address | Saratoga, CA 95070-1391 |
Second Address | Soledad, CA 93960-9529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |