Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERARD JOHN BOWEN JR., MHA, ATC
ActiveMR. GERARD JOHN BOWEN JR., MHA, ATC is a Athletic Trainer healthcare provider located in STONEWALL, Louisiana. NPI 1124060264 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STONEWALL, LA
Registration Details
- NPI Number
- 1124060264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.189726380247 yrs)
- Last Updated
- Jun 16, 2010
Practice Information
- Address
-
2571 HIGHWAY 171STONEWALL, LA, 710789423Browse LA providers · Browse ZIP 71078
- Phone
- 3189256917
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.