Individual
MR. JEFFREY LEON BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1741 S 75 E, BOUNTIFUL, UT 84010-5220
(801) 915-0107
Mailing address
1741 S 75 E, BOUNTIFUL, UT 84010-5220
(801) 915-0107
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08190123
UT
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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