Provider Demographics
NPI:1285888701
Name:BOWNE, ROBERT JOHN (PCA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:BOWNE
Suffix:
Gender:M
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 WEST ST
Mailing Address - Street 2:# 2
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-4691
Mailing Address - Country:US
Mailing Address - Phone:775-910-9056
Mailing Address - Fax:
Practice Address - Street 1:641 WEST ST
Practice Address - Street 2:# 2
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-4691
Practice Address - Country:US
Practice Address - Phone:775-910-9056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor