Organization
BRENT J. BOWEN, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA SUSAN FORBES (OFFICE MANAGER)
(801) 314-2362
Entity
Organization
Contact information
Practice address
5250 COMMERCE DR, SUITE 200, SALT LAKE CITY, UT 84107-7926
(801) 314-2362
(801) 314-2413
Mailing address
5250 COMMERCE DR, SUITE 200, SALT LAKE CITY, UT 84107-7926
(801) 314-2362
(801) 314-2413
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
173000000X
UT
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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