MR. FREDERICK BLANCHARD BOWLES PA-C NPI 1265435051

NPI Information

NPI: 1265435051
Provider Name: MR. FREDERICK BLANCHARD BOWLES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4880 WYNN RD
LAS VEGAS, NV
ZIP 89103
Phone: (702) 871-5005
Get Directions

MR. Frederick Blanchard Bowles, PA-C is a medical physician assistant in Las Vegas, NV. MR. Frederick Blanchard Bowles, PA-C NPI is 1265435051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4880 WYNN RD
LAS VEGAS, NV
ZIP 89103-406
Phone: (702) 871-5005
Fax: (702) 873-9280

The enumeration date for this NPI number is 5/24/2005 and was last updated on 11/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	314	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q15303	MEDICARE UPIN
2	101213	MEDICARE PIN	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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