Provider Demographics
NPI:1811919665
Name:BOWERS, JOHN A JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:BOWERS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:700 E SILVERADO RANCH BLVD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7516
Mailing Address - Country:US
Mailing Address - Phone:702-240-6482
Mailing Address - Fax:702-804-0957
Practice Address - Street 1:500 E WINDMILL LN
Practice Address - Street 2:SUITE 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1843
Practice Address - Country:US
Practice Address - Phone:702-240-6482
Practice Address - Fax:702-804-0957
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2015-01-15
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Provider Licenses
StateLicense IDTaxonomies
NV6721207RC0000X
CAG64648207RC0000X
AZ27498207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019314Medicaid
NV002019314Medicaid
E29468Medicare UPIN