Organization Name: | DR. DAVID F. BOWERS P.C. |
NPI Number: | 1700099868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID FLOYD BOWERS (OWNER) |
Mailing Address: | 2100 N Us Highway 12 Ste 201 Spring Grove |
State: | IL US |
Postal Code: | 600818308 |
Phone Number: | 8156759090 |
Fax Number: | 8152077808 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP1100X |
License Number: | 016-04951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Podiatric |
Taxonomy Definition: |