Individual
MR. CLINTON JAMES BOWSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC-L
Contact information
Practice address
255 N 400 W APT 5, SALT LAKE CITY, UT 84103-1233
(208) 520-6829
Mailing address
255 N 400 W APT 5, SALT LAKE CITY, UT 84103-1233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10118496-4810
UT
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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