Individual
DRELAN CHE-STEWART FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
919 12TH PL STE 12, PRESCOTT, AZ 86305-1433
(928) 227-1954
(480) 591-8225
Mailing address
919 12TH PL STE 12, PRESCOTT, AZ 86305-1433
(928) 227-1954
(480) 591-8225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5344
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789677
—
AZ
Enumeration date
02/08/2013
Last updated
04/03/2026
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