| Organization Name: | MIRNA D BOWDEN MD PC |
| NPI Number: | 1346402963 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIRNA D BOWDEN (PHYSICIAN OWNER) |
| Mailing Address: | 2002 Hospital Way Whitefish |
| State: | MT US |
| Postal Code: | 59937 |
| Phone Number: | 4068626436 |
| Fax Number: | 4068629978 |
| NPI Enumeration Date: | 06/25/2008 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | MT10075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |