Individual
JACOB BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 12TH AVE RD, SUITE 101, NAMPA, ID 83686-5015
(208) 466-0200
(208) 621-3140
Mailing address
1601 12TH AVE RD, SUITE 101, NAMPA, ID 83686-5015
(208) 466-0200
(208) 621-3140
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIA-1618
ID
Other
Enumeration date
01/29/2016
Last updated
05/25/2021
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