Individual
DR. JAMES THOMAS FOWLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(760) 482-4033
Mailing address
645 MARGARITA AVE, CORONADO, CA 92118-2320
(619) 437-8458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G22363
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G22363
CA
Other
Enumeration date
01/18/2007
Last updated
08/09/2007
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