Individual
DR. KREED BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
76 PROFESSIONAL PLZ, REXBURG, ID 83440-2047
(208) 356-4585
(208) 356-4587
Mailing address
32 N YELLOWSTONE HWY, RIGBY, ID 83442-5654
(208) 346-1274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100365
ID
Other
Enumeration date
07/18/2016
Last updated
10/15/2018
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