Individual
JOHN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
Mailing address
1904 JENNIE LEE DR, IDAHO FALLS, ID 83404-6159
(208) 974-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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