BRENT LEGRAND BOWLER

ST. GEORGE, UT
NPI1326388323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  12118236-1206)
Additional Taxonomies247200000X 
Enumeration Date2013-02-27
Last Update Date2021-02-12
Business Address
BRENT LEGRAND BOWLER
2825 E MALL DRIVE
ST. GEORGE, UT 84790
Phone number: 801-354-8225
Mailing Address
BRENT LEGRAND BOWLER
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225
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