Individual
LANDON RYAN BOWERBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3300 N RUNNING CREEK WAY BLDG C SUITE 300, BLDG C SUITE 300, LEHI, UT 84043
(801) 901-4333
(801) 901-4268
Mailing address
3300 N RUNNING CREEK WAY BLDG C SUITE 300, BLDG C SUITE 300, LEHI, UT 84043-3654
(801) 901-4333
(801) 901-4268
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
13221936-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
13221936-0501
UT
213ES0131X
Foot Surgery Podiatrist
13221936-0501
UT
Other
Enumeration date
04/21/2020
Last updated
06/19/2024
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