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Contact Information

BRADLEY J BOWLES, MD
10012 KENNERLY RD STE 305
SAINT LOUIS, MO63128-2197
 Phone: 314-525-4325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for BRADLEY J BOWLES · (Male)

NPI Number 1922458892
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2016
Last updated 12/12/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 62608
  • MO License # 2022046851
Hospital affiliation(s)
  • MERCY GILBERT MEDICAL CENTER - (Acute Care)
    3555 SOUTH VAL VISTA DRIVE
    GILBERT, AZ 85296
  • MOUNTAIN VISTA MEDICAL CENTER LP - (Acute Care)
    1301 SOUTH CRISMON ROAD
    MESA, AZ 85209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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