| Doctor Name: | MR. RONALD ELROY BOWERS |
| NPI Number: | 1104894187 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0110-840497 |
| Business Practice Address: | 9501 Farrell Rd Suite 100 Fort Belvoir, VA - 220605901 |
| Business Phone Number: | 7038050096 |
| Business Fax Number: | 7038050820 |
| Mailing Address: | 12042 Odion Ln, WOODBRIDGE |
| State: | VA |
| Postal Code: | 221925341 |
| Phone Number: | 7035837730 |
| Fax Number: | 7038050820 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0110-840497 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |