DR. JASON ROSS BOWEN DPM NPI 1962513820

NPI Information

DR. Jason Ross Bowen, DPM is a foot and ankle surgery podiatrist in Salt Lake City, UT with 21 years of experience. DR. Jason Ross Bowen, DPM NPI is 1962513820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2003

The provider's business location address is:

3710 TWINBROOK ST
SALT LAKE CITY, UT
ZIP 84109-714
Phone: (801) 278-6603

The NPI 1962513820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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