Provider Demographics
NPI:1528133998
Name:BOWDEN, WILLIAM DAVID (DO, FACC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DAVID
Last Name:BOWDEN
Suffix:
Gender:M
Credentials:DO, FACC
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Mailing Address - Street 1:8499 OLD REDWOOD HWY STE 110
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8057
Mailing Address - Country:US
Mailing Address - Phone:707-431-9181
Mailing Address - Fax:707-473-2880
Practice Address - Street 1:8499 OLD REDWOOD HWY STE 110
Practice Address - Street 2:SUITE 110
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-8057
Practice Address - Country:US
Practice Address - Phone:707-431-9181
Practice Address - Fax:707-473-2880
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A4661207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX46610Medicaid
CA020AY6610Medicare ID - Type Unspecified
CA00AX46610Medicaid