| Thomas Bowhay, M.d. | |
|
1245 Jackson Gate Rd Jackson CA 95642-9547 | |
| (209) 223-7040 | |
| (209) 223-7606 |
| Full Name | Thomas Bowhay, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1245 Jackson Gate Rd, Jackson, California |
| Authorized Official Name and Position | Thomas Alan Bowhay (OWNER) |
| Authorized Official Contact | 2092237040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Bowhay, M.d. 1245 Jackson Gate Rd Jackson CA 95642-9547 Ph: (209) 223-7040 | Thomas Bowhay, M.d. 1245 Jackson Gate Rd Jackson CA 95642-9547 Ph: (209) 223-7040 |
| NPI Number | 1720263783 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720263783 | NPI | - | NPPES |
| 1902919665 | Other | NPI TYPE 1 | |
| 00A453830 | Other | MEDICARE ID | |
| 00A453830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A45383 (California) | Primary |
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