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Individual
DR. JUSTIN FOWLER
Active
Individual
DR. JUSTIN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
NULL
207XX0801X
Orthopaedic Trauma Physician
2016027259
MO
207XX0801X
Orthopaedic Trauma Physician
M-13069
ID
207XX0801X
Orthopaedic Trauma Physician
MD2014-0304
NM
207XX0801X
Orthopaedic Trauma Physician
Q6009
TX
2086S0102X
Surgical Critical Care Physician
Primary
M-13069
ID
Other
Enumeration date
08/05/2007
Last updated
12/16/2024
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