Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dallis Mark Bowditch, MD

Individual provider Family Medicine Physician · NPI 1790788255

Dr. Dallis Mark Bowditch, MD is a Family Medicine Physician in Logansport, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1201 Michigan Ave Ste 140
Logansport, IN 46947-1580
Phone: (574) 753-1462
Fax: (574) 753-1465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01032465A (IN)

Record details

NPI number1790788255
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESDecember 1, 2015

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