Individual
DR. MATTHEW C BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
175 N 100 W, SUITE 205A, VERNAL, UT 84078-2049
(435) 781-1200
(435) 781-1230
Mailing address
175 N 100 W, SUITE 205A, VERNAL, UT 84078-2049
(435) 781-1200
(435) 781-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311326-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407143324
—
IA
Enumeration date
06/29/2011
Last updated
11/11/2014
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