MISS Chantelle E Bowman, PA-C

NPI #1063740082 in Fort Hall, Idaho

Provider Information

NPI Number: 1063740082
Entity Type: Individual
Name: MISS Chantelle E Bowman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 2, 2009
Last Updated: Mar 29, 2016

Practice Location

Address: 717 MISSION ROAD
Address 2: COMMUNITY HEALTH NURSING PROGRAM
City: Fort Hall
State: Idaho
ZIP Code: 83203
Phone: (208) 238-5435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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