Individual provider · NPI-1

Garrett Bowen

Family Medicine · Warwick, RI

NPI number1619505385
StatusActive
Last updated in NPPESJun 24, 2020

Details

NPI
1619505385
Entity type
Individual (NPI-1)
Name
Garrett Bowen
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2020
Certification date
Jun 24, 2020
Last updated
Jun 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineLP05061RIYes

Practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone 401-737-7010

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759

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