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DR. BRIAN MICHAEL BOWLIN M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1548657406

Individual Registrant:
DR. BRIAN MICHAEL BOWLIN M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1159 MAIN ST  VILONIA, AR 72173 US
Tel: 501-796-8484  Fax: 501-796-2453

Contact information for business:
1159 MAIN ST  VILONIA, AR 72173-9525 US
Tel: 501-796-8484  Fax: 501-796-2453

Registration Information:
NPI: 1548657406
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARE-11492

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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