Organization
W.R. FOWLER, M.D.,LLC
Active
Other names
Copper Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LE ANN ROBINSON R.N. (CONSULTANT)
(505) 388-3393
Entity
Organization
Contact information
Practice address
3185 N LESLIE RD, SILVER CITY, NM 88061-7211
(505) 388-3393
(505) 388-2696
Mailing address
3185 N LESLIE RD, SILVER CITY, NM 88061-7211
(505) 388-3393
(505) 388-2696
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09266
—
NM
01
—
1134203334
NPI FOR KAREN DEGENEVIEVE
NM
01
—
1790869998
NPI FOR W.R. FOWLER, M.D.
NM
01
—
1952342651
NPI FOR TERRELL HADLEY
NM
05
—
24736805
—
NM
05
—
Z1351
—
NM
Enumeration date
03/29/2007
Last updated
08/22/2020
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