Johnny L. Bowman

NPI #1508036146 in Nashville, Arkansas

Provider Information

NPI Number
1508036146
Entity Type
Organization
Organization Name
Johnny L. Bowman
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 11, 2008
Last Updated
Mar 11, 2008

Practice Location

Address
410 N MAIN ST STE 3
ZIP Code
71852-2000
Phone
(870) 845-3725

Authorized Official

Name
MRS. SHELLY PERRIN
Title
SECRETARY
Phone
(870) 845-3725

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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