Individual
DR. AMBER D FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 CONTINENTAL PL, SUITE # 101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
(360) 428-4227
Mailing address
1600 CONTINENTAL PL, SUITE # 101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
(360) 428-4227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00046521
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00046521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00046521
STATE LICENSE NUMBER
WA
Enumeration date
07/17/2006
Last updated
01/29/2021
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