Provider Demographics
NPI:1134102338
Name:BOWMAN, WILLIAM FRANK (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:FRANK
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3277
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:5977 E SPRING ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-3752
Practice Address - Country:US
Practice Address - Phone:562-421-3727
Practice Address - Fax:562-420-8948
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2015-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG45323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFM491ZMedicare PIN
CAA92570Medicare UPIN