Rodney Bowen Valid NPI
Individual provider · Physician Assistant · South Boston, VA
- NPI
- 1629499082
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 0110004458 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-01-02
- Last updated
- 2014-01-02
Practice location
2204 Wilborn Ave
South Boston, VA 24592-1645
(434) 738-8586