Individual
BRENDAN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 UNIVERSITY AVE W, SWAIN HALL, MINOT, ND 58707-0001
(509) 953-6757
Mailing address
25000 E BERGAMOT CT, LIBERTY LAKE, WA 99019-6030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
540-14
ND
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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