# BRENT J. BOWEN, M.D.P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710152228
- **Authorized official:** MRS. PATRICIA SUSAN FORBES (OFFICE MANAGER)
- **Authorized official phone:** (801) 314-2362

## Contact information

- **Practice address:** 5250 COMMERCE DR, SUITE 200, SALT LAKE CITY, UT 84107-7926
- **Practice address phone:** (801) 314-2362
- **Practice address fax:** (801) 314-2413
- **Mailing address:** 5250 COMMERCE DR, SUITE 200, SALT LAKE CITY, UT 84107-7926
- **Mailing address phone:** (801) 314-2362
- **Mailing address fax:** (801) 314-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 173000000X | UT | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008
