Provider Demographics
NPI:1942252085
Name:BOWLUS, CHRISTOPHER L (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:BOWLUS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4150 V ST
Mailing Address - Street 2:DIVISION OF GASTROENTEROLOGY, PSSB 3500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-3751
Mailing Address - Fax:916-734-7908
Practice Address - Street 1:4150 V ST
Practice Address - Street 2:DIVISION OF GASTROENTEROLOGY, PSSB 3500
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-3751
Practice Address - Fax:916-734-7908
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG7208207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology