Provider Demographics
NPI:1447563440
Name:CYNTHIA M BOWERS MD CORPORATION A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CYNTHIA M BOWERS MD CORPORATION A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-898-0500
Mailing Address - Street 1:1824 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2420
Mailing Address - Country:US
Mailing Address - Phone:805-898-0500
Mailing Address - Fax:805-569-0980
Practice Address - Street 1:1824 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2420
Practice Address - Country:US
Practice Address - Phone:805-898-0500
Practice Address - Fax:805-569-0980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42019207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty