Mr. Scott Edward Bowerman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588372114

Mr. Scott Edward Bowerman is a Student in an Organized Health Care Education/Training Program in Ronceverte, West Virginia. Registered with an NPI since 2022.

In the registry since: 2022
Specialties on file: 2

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Practice location Address checks out

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone: (304) 793-2220
Fax: (304) 793-2277

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary)	Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1588372114
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	November 14, 2022
Last updated in NPPES	July 12, 2023
Certification date	July 12, 2023
Mailing address	3765 Saint James Rd, Greeneville, TN 37743-1743