NPI | 1518397215 |
---|---|
Doing Business As | BRENT J BOWEN, M.D. |
Entity Type | Organization |
Authorized Contact | BRENT JAMES BOWEN Owner 801-314-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: UT 2736038905) |
Enumeration Date | 2013-11-15 |
Last Update Date | 2013-11-15 |