Organization
WESTERN TRAILS FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WESLY BOWLIN PT, DPT (PRESIDENT)
(308) 623-1313
Entity
Organization
Contact information
Practice address
1463 17TH AVE, MITCHELL, NE 69357-1429
(308) 623-1313
(308) 623-1313
Mailing address
1463 17TH AVE, MITCHELL, NE 69357-1429
(308) 623-1313
(308) 623-1315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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