Derek Thomas Bowden

NPI #1295290914 in Piedmont, Oklahoma

Provider Information

NPI Number: 1295290914
Entity Type: Individual
Name: Derek Thomas Bowden
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Feb 6, 2019
Last Updated: Feb 6, 2019

Practice Location

Address: 11820 NW 131ST ST
City: Piedmont
State: Oklahoma
ZIP Code: 73078-3014
Phone: (405) 933-8651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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