Individual
ROBERT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
344 E 100 S, SUITE 301, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
5528 S RED CLIFF DR, APT F, TAYLORSVILLE, UT 84123-5969
(570) 204-9257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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