Provider Demographics
NPI:1336188937
Name:BOWEN, DINA M (MD)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:M
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1601 HEALTH CENTER PKWY STE 900
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-9589
Mailing Address - Country:US
Mailing Address - Phone:405-577-6700
Mailing Address - Fax:405-265-4135
Practice Address - Street 1:1601 HEALTH CENTER PKWY STE 900
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-9589
Practice Address - Country:US
Practice Address - Phone:405-577-6700
Practice Address - Fax:405-265-4135
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2024-10-10
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Provider Licenses
StateLicense IDTaxonomies
OK19495208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100091540BMedicaid