Provider Demographics
NPI:1972630093
Name:BOWE, CONSTANCE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:MARIE
Last Name:BOWE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1712 REDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1020
Mailing Address - Country:US
Mailing Address - Phone:530-758-9349
Mailing Address - Fax:530-759-8832
Practice Address - Street 1:2825 50TH ST
Practice Address - Street 2:PEDIATRIC NEUROLOGY MIND INSTITUTE
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2308
Practice Address - Country:US
Practice Address - Phone:916-703-0258
Practice Address - Fax:916-703-0242
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG343872080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities