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Organization
WESTERN TRAILS FAMILY MEDICINE, LLC
Active
Organization
WESTERN TRAILS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WESLY BOWLIN PT, DPT (PRESIDENT)
(308) 623-1313
Entity
Organization
Contact information
Practice address
1463 17TH AVE, MITCHELL, NE 69357-1429
(308) 623-1313
(308) 623-1313
Mailing address
1463 17TH AVE, MITCHELL, NE 69357-1429
(308) 623-1313
(308) 623-1315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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