Provider Demographics
NPI:1427068105
Name:BOWEN-WILLIAMS, JANNE (MD)
Entity type:Individual
Prefix:
First Name:JANNE
Middle Name:
Last Name:BOWEN-WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:CA
Mailing Address - Zip Code:94978-0400
Mailing Address - Country:US
Mailing Address - Phone:415-455-9229
Mailing Address - Fax:415-456-2427
Practice Address - Street 1:773 CENTER BLVD
Practice Address - Street 2:BOX 400
Practice Address - City:FAIRFAX
Practice Address - State:CA
Practice Address - Zip Code:94930-1738
Practice Address - Country:US
Practice Address - Phone:415-455-9229
Practice Address - Fax:415-456-2427
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46586207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine