Provider Demographics
NPI:1659682599
Name:BOWER, MARCIA PORTER GRIFFITH (MAOM, LAC)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:PORTER GRIFFITH
Last Name:BOWER
Suffix:
Gender:F
Credentials:MAOM, LAC
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:PORTER
Other - Last Name:GRIFFITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAOM, LICAC
Mailing Address - Street 1:81 MILLER RD STE 600
Mailing Address - Street 2:
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033-4042
Mailing Address - Country:US
Mailing Address - Phone:518-336-6482
Mailing Address - Fax:
Practice Address - Street 1:81 MILLER RD STE 600
Practice Address - Street 2:
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033-4042
Practice Address - Country:US
Practice Address - Phone:518-336-6482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist