| Ricky D Bowlin, Md Llc | |
|
130 West Martz Street Suite 3 Greenville OH 45331 | |
| (937) 548-5114 | |
| Not Available |
| Full Name | Ricky D Bowlin, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 West Martz Street, Greenville, Ohio |
| Authorized Official Name and Position | Ricky D Bowlin (OWNER) |
| Authorized Official Contact | 9375485114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky D Bowlin, Md Llc 130 West Martz Street Suite 3 Greenville OH 45331 Ph: (937) 548-5114 | Ricky D Bowlin, Md Llc 130 West Martz Street Suite 3 Greenville OH 45331 Ph: (937) 548-5114 |
| NPI Number | 1902023559 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902023559 | NPI | - | NPPES |
| 2208211 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35066556 (Ohio) | Primary |
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