Individual
DR. JASON ROSS BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3710 TWINBROOK ST, SALT LAKE CITY, UT 84109-3714
(801) 278-6603
Mailing address
3710 TWINBROOK ST, SALT LAKE CITY, UT 84109-3714
(801) 278-6603
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0601
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
0616
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
E4715
CA
Other
Enumeration date
08/31/2006
Last updated
11/23/2021
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