Provider Demographics
NPI:1720259849
Name:BOWRING, JULIE LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:LYNN
Last Name:BOWRING
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:105 N INDIAN MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:PAULS VALLEY
Mailing Address - State:OK
Mailing Address - Zip Code:73075-9236
Mailing Address - Country:US
Mailing Address - Phone:405-207-9800
Mailing Address - Fax:405-207-9898
Practice Address - Street 1:105 N INDIAN MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:PAULS VALLEY
Practice Address - State:OK
Practice Address - Zip Code:73075-9236
Practice Address - Country:US
Practice Address - Phone:405-207-9800
Practice Address - Fax:405-207-9898
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2015-04-23
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Provider Licenses
StateLicense IDTaxonomies
OK1708363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant