Individual
DR. BURT N FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 S UNION BLVD, #115, COLORADO SPRINGS, CO 80910-3113
(719) 365-5445
(719) 365-5530
Mailing address
175 S UNION BLVD STE 115, COLORADO SPRINGS, CO 80910-3117
(719) 577-4040
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
44178
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42653371
—
CO
Enumeration date
06/26/2006
Last updated
05/07/2008
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