Western Trails Family Medicine, LLC

NPI #1205223740 in Mitchell, Nebraska

Provider Information

NPI Number: 1205223740
Entity Type: Organization
Organization Name: Western Trails Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 22, 2015
Last Updated: Apr 22, 2015

Practice Location

Address: 1463 17TH AVE
City: Mitchell
State: Nebraska
ZIP Code: 69357-1429
Phone: (308) 623-1313

Authorized Official

Name: MR. JOHN WESLY BOWLIN, PT, DPT
Title: PRESIDENT
Phone: (308) 623-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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