SearchIdaho237600000X

Brent Bowman

NPI 1700924263 · on the registry since 2007

Practice

Address
130 Mill Rd
Horseshoe Bend, ID 83629
Phone
(208) 793-3115
Fax
(208) 793-3321
Organisation at this address
Hearing & Communication Technology Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
237600000X
237600000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho