Individual
DR. ROBERT STUART FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20406
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020019825
RAILROAD MEDICARE
AZ
05
—
336439
—
AZ
01
—
86080015085259A153
TRIWEST
AZ
01
—
86080015085259C167
TRIWEST
AZ
Enumeration date
12/13/2005
Last updated
07/30/2008
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