Reginald Bowman

NPI #1316101892 in Pekin, Illinois

Provider Information

NPI Number: 1316101892
Entity Type: Individual
Name: Reginald Bowman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Jul 15, 2008
Last Updated: Jan 15, 2013

Practice Location

Address: 600 S 13TH ST
Address 2: STE A
City: Pekin
State: Illinois
ZIP Code: 61554-4936
Phone: (309) 347-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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