Brent Legrand Bowler

NPI #1326388323 in St. George, Utah

Provider Information

NPI Number: 1326388323
Entity Type: Individual
Name: Brent Legrand Bowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 27, 2013
Last Updated: Feb 12, 2021

Practice Location

Address: 2825 E MALL DRIVE
City: St. George
State: Utah
ZIP Code: 84790
Phone: (801) 354-8225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Physician Assistant	363A00000X	Primary

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