| Doctor Name: | SCOTT BOWERS |
| NPI Number: | 1609253962 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 9317717-1206 |
| Business Practice Address: | 3336 S Pioneer Pkwy St 302 West Valley, UT - 841202000 |
| Business Phone Number: | 8019648726 |
| Business Fax Number: | 8019689836 |
| Mailing Address: | 5213 West 8430 South, WEST JORDAN |
| State: | UT |
| Postal Code: | 84081 |
| Phone Number: | 8019648726 |
| Fax Number: | 8019689836 |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 9317717-1206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |