Provider Demographics
NPI:1184846131
Name:BOWMAN, ADAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:M
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1580 W ANTELOPE DR
Mailing Address - Street 2:SUITE 175
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1160
Mailing Address - Country:US
Mailing Address - Phone:801-773-2233
Mailing Address - Fax:801-773-2375
Practice Address - Street 1:1548 E 4500 S STE 105
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-5209
Practice Address - Country:US
Practice Address - Phone:014-243-0908
Practice Address - Fax:801-424-3091
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2019-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
174400000X
UT65922181205207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist