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Mr. Scott Edward Bowerman
Medical Physician Assistant in Ronceverte, West Virginia
NPI 1588372114

Scott Edward Bowerman is a Medical Physician Assistant based in Greeneville, WV and is specialized in Medical. Scott Edward Bowerman practices in Ronceverte, WV. The NPI Number for Scott Edward Bowerman is 1588372114 and holds a License No. (West Virginia).

The current practice location address for Scott Edward Bowerman is 1320 Maplewood Ave, Ronceverte, WV and can be reached out via phone at 304-793-2220 and via fax at 304-793-2277.

Location: 1320 Maplewood Ave, Ronceverte, WV, 37743-1743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588372114
Provider Name
Scott Edward Bowerman
Credential
Provider Entity Type
Individual
Gender
Male
Address
1320 Maplewood Ave, Ronceverte, WV, 37743-1743
Phone Number
304-793-2220
Fax Number
304-793-2277
Provider Enumeration Date
11/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 Maplewood Ave
City
Ronceverte
State
West Virginia
Zip
24970-8016
Phone Number
304-793-2220
Fax Number
304-793-2277
person
Provider Business Mailing Address Details
Address
1320 Maplewood Ave
City
Ronceverte
State
West Virginia
Zip
24970-8016
Phone Number
304-793-2220
Fax Number
304-793-2277
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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