Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A118814 | CA |
NPI | 1013294727 |
---|---|
Provider Name | Owen Bowers |
First Address | Encinitas, CA 92023-0760 |
Second Address | Encinitas, CA 92024-5142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2011 |
Last Update Date | 29/04/2014 |