Individual
JARRETT JAMES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
PO BOX 912882, DENVER, CO 80291-2882
(866) 765-0909
(855) 856-8520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1207
SD
Other
Enumeration date
08/11/2019
Last updated
09/11/2019
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