# DR. ANTHONY WAYNE FOWLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841365061
- **Gender:** Man
- **Credential:** AU.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AT001146L | PA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 09/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000219651 | BLUE SHIELD | PA |
| 05 | — | 001822982 | — | PA |
| 01 | — | 01726501 | BLUE CROSS | PA |