IndividualActive
Alex Ourth
NPI 1548041353 · Physician Assistant · Bowen, IL
Provider details
- NPI number
- 1548041353
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
209 E 5th St
Bowen, IL 62316-1130
Phone: (217) 842-5211
Fax: (217) 842-5202
Mailing address
209 E 5th St
Bowen, IL 62316-1130
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.