Larry Howard Lee Bowen, ARRT(R) EMT(B)

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

358321 Issued in NU

Practice address

599 Tomales Rd
Health Services 'a' School
Petaluma, CA 94952-5002

Phone

(707) 765-7488

Fax

(707) 765-7495

NPI assigned

May 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114132503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 TOMALES RD",
            "address_2": "HEALTH SERVICES 'A' SCHOOL",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525002",
            "telephone_number": "707-765-7488",
            "fax_number": "707-765-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 TOMALES RD",
            "address_2": "HEALTH SERVICES 'A' SCHOOL",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525002",
            "telephone_number": "707-765-7488",
            "fax_number": "707-765-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LARRY",
        "middle_name": "HOWARD LEE",
        "credential": "ARRT(R) EMT(B)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": "358321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magin Delgado Borrajo, PH.D., MFT
• Louise M Bortolotti
• Marques Joseph Bostic, O.D
• Hope Lovena Bottini
• Brian Bouch, M.D.
• Nicole Bowman
• Rob Bowman, LMFT
• Boyd Recovery LLC
• Alexander Christopher Boyer
• Christine T Boyer, D.D.S.

• Radiography Radiologic Technologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.