Cecil D Bowen Jr, MD a Profrssional Corporation

Organization Active NPI Diagnostic Radiology Physician · Blythe, CA

NPI 1902020241 · NPPES record last updated Jan 5, 2010

Key facts

NPI
1902020241
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
G66633 (CA)
Legal business name
CECIL D BOWEN JR, MD A PROFRSSIONAL CORPORATION
Practice address
250 N 1St St
Blythe, CA 92225-1702
Phone
(760) 921-5202
Fax
(760) 921-8674
NPI assigned
Apr 11, 2007
Organization subpart
No

Authorized official

Name
Cecil D Bowen Jr., MD
Title
Medical Doctor
Phone
(760) 861-0432

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X G66633 CA Yes

Addresses

Primary practice location

250 N 1St St
Blythe, CA 92225-1702

Mailing address

PO Box 1175
Blythe, CA 92226-1175
Phone (760) 861-0432

Other providers in Blythe, CA

All providers in Blythe, CA · Diagnostic Radiology Physician in California

Sources for this page

Verify at the official NPI Registry.