Provider Demographics
NPI:1699868521
Name:BOWERS, SHELLY FRANCES (DPM)
Entity type:Individual
Prefix:DR
First Name:SHELLY
Middle Name:FRANCES
Last Name:BOWERS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9240 N MERIDIAN ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1880
Mailing Address - Country:US
Mailing Address - Phone:317-573-4250
Mailing Address - Fax:317-573-4253
Practice Address - Street 1:9240 N MERIDIAN ST
Practice Address - Street 2:SUITE 260
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1880
Practice Address - Country:US
Practice Address - Phone:317-573-4250
Practice Address - Fax:317-573-4253
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07001029A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery