Individual
COLE BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2162 E WILLIAMS FIELD RD STE 111, GILBERT, AZ 85295-0736
(480) 795-1515
(480) 597-1723
Mailing address
2162 E WILLIAMS FIELD RD STE 111, GILBERT, AZ 85295-0736
(480) 795-1515
(480) 597-1723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5617
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617
AZ LICENSE
AZ
05
—
874861
—
AZ
Enumeration date
12/10/2013
Last updated
09/09/2024
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