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Individual
DR. ANTHONY WAYNE FOWLER
Active
Individual
DR. ANTHONY WAYNE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000219651
BLUE SHIELD
PA
05
—
001822982
—
PA
01
—
01726501
BLUE CROSS
PA
Enumeration date
11/22/2006
Last updated
09/26/2011
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