Dallis Mark Bowditch is a Family Medicine Physician based in Logansport, IN. Dallis Mark Bowditch practices in Logansport, IN and has the professional credentials of MD. The NPI Number for Dallis Mark Bowditch is 1790788255 and holds a License No. 01032465A (Indiana).
The current practice location address for Dallis Mark Bowditch is 1201 Michigan Ave, Logansport, IN and can be reached out via phone at 574-753-1462 and via fax at 574-753-1465.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4216390 | 01 | IN | AETNA ID |
| 100070810 | 05 | IN | |
| 000000546802 | 01 | ANTHEM BLUE CROSS | |
| 6148784003 | 01 | IN | CIGNA ID |
| 080096741 | 01 | MEDICARE RAILROAD | |
| 112810C | 01 | OLD MEDICARE ID # |
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