Ian Bowers, DO
Otolaryngology in San Francisco, CA. Individual provider (NPI-1).
NPI number1487147377
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1487147377
- Entity type
- Individual (NPI-1)
- Name
- Ian Bowers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2018
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 20924 | CA | Yes |
| 207Y00000X | Otolaryngology | 5101024129 | MI |
Practice location
1001 Potrero AvenueBldg. 5, #4m
San Francisco, CA 94110-3518
Phone 628-206-5476
Mailing address
Po Box 743749Los Angeles, CA 90074-3749
Other practice locations
50 N Perry St
Pontiac, MI 48342-2217
Pontiac, MI 48342-2217
Phone 248-338-5392
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