Dr David P Bowman, DO | |
576 E Highway 138, Suite 350, Stansbury Park, UT 84074-4027 | |
(435) 843-1342 | |
(435) 775-9272 |
Full Name | Dr David P Bowman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 576 E Highway 138, Stansbury Park, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053486076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0-175 (Idaho) | Secondary |
207Q00000X | Family Medicine | 8554520-1204 (Utah) | Primary |
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
Mailing Address | Practice Location Address |
---|---|
Dr David P Bowman, DO 576 E Highway 138, Suite 350, Stansbury Park, UT 84074-4027 Ph: (435) 843-1342 | Dr David P Bowman, DO 576 E Highway 138, Suite 350, Stansbury Park, UT 84074-4027 Ph: (435) 843-1342 |
Michael Wild, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 220 Millpond Ste 100, Stansbury Park, UT 84074 Phone: 435-843-3000 Fax: 435-843-3015 | |
Hilary S. Seibert, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 Millpond, 100, Stansbury Park, UT 84074 Phone: 801-213-9400 |