Individual
CHRISTOPHER WADE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-7000
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-9329
AR
Other
Enumeration date
04/02/2013
Last updated
09/07/2016
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