Individual provider · Type 1 NPI

Sadie Jo Bouwens

Physician Assistant · Dewey, AZ

NPI number 1508615394 Active

Practice location

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569

Fax (928) 772-1674

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12071 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1508615394

Sadie Jo Bouwens's National Provider Identifier is 1508615394, issued on May 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dewey, AZ. The record was last updated on Oct 22, 2026.