Brian Bowers
Dietitian, Registered in Philadelphia, PA. Individual provider (NPI-1).
NPI number1073913232
StatusActive
Last updated in NPPESJan 20, 2015
Details
- NPI
- 1073913232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Bowers
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2014
- Last updated
- Jan 20, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DN005523 | PA | Yes |
Practice location
2683 Winchester AvePhiladelphia, PA 19152-2148
Phone 215-813-6334
Mailing address
2683 Winchester AvePhiladelphia, PA 19152-2148
Phone 215-813-6334
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