| Michael T Bowersox MD Inc | |
|
16613 Wikiup Rd Ramona CA 92065-4161 | |
| (858) 243-2851 | |
| (760) 748-6800 |
| Full Name | Michael T Bowersox MD Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16613 Wikiup Rd, Ramona, California |
| Authorized Official Name and Position | Michael T Bowersox (PHYSICIAN) |
| Authorized Official Contact | 7605000265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Bowersox MD Inc Po Box 486 Ramona CA 92065-0486 Ph: (858) 243-2851 | Michael T Bowersox MD Inc 16613 Wikiup Rd Ramona CA 92065-4161 Ph: (858) 243-2851 |
| NPI Number | 1841628393 |
|---|---|
| Provider Enumeration Date | 10/20/2013 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841628393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G053320 (California) | Primary |
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