Provider Demographics
NPI:1164892782
Name:BOWLER, RYAN KENDLE (DVM)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:KENDLE
Last Name:BOWLER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 W 540 N APT 205
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-1620
Mailing Address - Country:US
Mailing Address - Phone:435-619-6245
Mailing Address - Fax:
Practice Address - Street 1:1067 E TABERNACLE ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3163
Practice Address - Country:US
Practice Address - Phone:435-673-3191
Practice Address - Fax:435-627-8690
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2264174M00000X
UT9053222-2801174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian