MICHELLE DAWN BOWLEN

SALT LAKE CITY, UT
NPI1932267499
Former NameMICHELLE DAWN FRECKLETON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  5198279-1205)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IN  01061412A)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- MICHELLE DAWN BOWLEN MD
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-993-9551
Mailing Address
-- MICHELLE DAWN BOWLEN MD
8004 SPRINGSHIRE DR
PARK CITY, UT 84098-4613
Phone number: 801-662-3578