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DR. MARK G BOWLES M.D.

Physicians Urology

Provider NPI: 1548260599

Provider Information:
DR. MARK G BOWLES M.D.
Gender: M
Not Sole Proprietor

Practice Location:
800 OAK RIDGE TPKE SUITE A-101 OAK RIDGE, TN 37830-6957 US
Tel: 865-483-1093  Fax: 865-482-8629

Business Mailing Address:
9724 KINGSTON PIKE SUITE 800 KNOXVILLE, TN 37922-3347 US
Tel: 865-690-0602  Fax: 865-690-0515

NPI Information:
NPI: 1548260599
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XPhysicians
Urology
TNMD0000020986

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS3106044TN01
BLUE CROSS3106046TN01
GROUP NPI1669416442TN01
3090598TN05
RAILROAD MEDICARECI2260TN01



American Medical Association 2012 taxonomy code information

Code: 208800000X

Type:

Classification:



Definition:



MEDICAL JOBS TN - Page 1

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