Individual
DR. WESLEY AARON BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 W 2ND S, SODA SPRINGS, ID 83276-1515
(208) 547-4151
(208) 547-4093
Mailing address
300 W 2ND S, SODA SPRINGS, ID 83276-1515
(208) 547-4151
(208) 547-4093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C1255
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1255
STATE OF IDAHO LICENSE NU
ID
Enumeration date
07/24/2007
Last updated
07/24/2007
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