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Organization
PSYCHIATRIC & MENTAL HEALTH SERVICES PPLC
Active
Organization
PSYCHIATRIC & MENTAL HEALTH SERVICES PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS BOWLES (NURSE PRACTITIONER)
(435) 610-9197
Entity
Organization
Contact information
Practice address
1883 W ROYAL HUNTE DR STE 200, CEDAR CITY, UT 84720-4081
(435) 610-9197
Mailing address
PO BOX 17212, SALT LAKE CITY, UT 84117-0212
(435) 610-9197
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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