BOWMAN J BLAKE APRN
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1992427892- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 35 S 400 W, OREM, UT, 840585324
- Phone
- (801) 800-2550
- Fax
- (801) 705-4040
Specialties & Taxonomies
Family Medicine
Primary License: UT #10709846-4405