Individual
MICHELLE DAWN BOWLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 993-9551
(801) 733-5872
Mailing address
8004 SPRINGSHIRE DR, PARK CITY, UT 84098-4613
(801) 662-3578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01061412A
IN
207L00000X
Anesthesiology Physician
Primary
5198279-1205
UT
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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