Provider Demographics
NPI:1013139526
Name:BOWMAN, TROY W (AT,C)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:W
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-4431
Mailing Address - Country:US
Mailing Address - Phone:406-892-1938
Mailing Address - Fax:
Practice Address - Street 1:BOX 1289
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912
Practice Address - Country:US
Practice Address - Phone:406-892-6500
Practice Address - Fax:406-892-6583
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist