Whalio Doctors

NPI 1326388323

Brent Legrand Bowler

Practitioner Physician Assistant St. George, UT

Practice location

Address
2825 E Mall Drive, St. George, UT 84790
Phone
(801) 354-8225
Mailing address
1055 N 500 W, Provo, UT 84604-3305

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 12118236-1206 (UT)
Other Technician
Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Registry record

NPI
1326388323
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Feb 2013
Record last updated
12 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.