Provider Demographics
NPI:1235543653
Name:BOWERS, JOSHUA MARK (DO)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MARK
Last Name:BOWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9030
Mailing Address - Country:US
Mailing Address - Phone:740-779-7131
Mailing Address - Fax:740-779-8508
Practice Address - Street 1:446 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-779-7131
Practice Address - Fax:740-779-8508
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012308207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine