Doctor Name: | CECIL BOWEN |
NPI Number: | 1154482396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G66633 |
Business Practice Address: | 250 N 1st St Palo Verde Hospital Blythe, CA - 922251702 |
Business Phone Number: | 7609215196 |
Business Fax Number: | 7609218674 |
Mailing Address: | Po Box 1175, BLYTHE |
State: | CA |
Postal Code: | 922261175 |
Phone Number: | 7609216488 |
Fax Number: | 7609216399 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G66633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |