Individual
MR. BRENT V BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1828 S MILLENIUM WAY STE 100, MERIDIAN, ID 83642-5036
(208) 445-2456
Mailing address
1501 S MEADOW RD, SPRINGVILLE, UT 84663-6008
(801) 369-5435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
281060-4406
UT
367500000X
Certified Registered Nurse Anesthetist
30952.1190
WY
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-884A
ID
Other
Enumeration date
09/22/2009
Last updated
10/10/2025
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