Doctor Name: | DR. PATRICIA JEAN BOWLING |
NPI Number: | 1629071402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 5125 |
Business Practice Address: | 1350 E 750 N Orem, UT - 840974345 |
Business Phone Number: | 8018522273 |
Business Fax Number: | 8012272199 |
Mailing Address: | 1350 E 750 N, OREM |
State: | UT |
Postal Code: | 840974345 |
Phone Number: | 8018522273 |
Fax Number: | 8012272199 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 05/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |