Damon Lee Bowman
Student in an Organized Health Care Education/Training Program in Kingsley, IA. Individual provider (NPI-1).
NPI number1114756202
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1114756202
- Entity type
- Individual (NPI-1)
- Name
- Damon Lee Bowman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2024
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IA | Yes |
Practice location
26124 Roosevelt AveKingsley, IA 51028-8553
Phone 712-539-9330
Mailing address
26124 Roosevelt AveKingsley, IA 51028-8553
Phone 712-539-9330
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