Ruby Bowers
Physician Assistant in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1184180614
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1184180614
- Entity type
- Individual (NPI-1)
- Name
- Ruby Bowers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 12857 | MN | Yes |
| 363AS0400X | Physician Assistant, Surgical | 12857 | MN |
Practice location
11850 Blackfoot St Nw Ste 490Coon Rapids, MN 55433-2773
Phone 763-427-1137
Mailing address
Po Box 43Minneapolis, MN 55440-0043
Phone 612-622-1166
Other practice locations
913 E 26th St Ste 305
Minneapolis, MN 55404-4515
Minneapolis, MN 55404-4515
Phone 612-871-7278 · Fax 612-863-8531
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