Individual
JOSHUA STEPHEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.202191
LA
208D00000X
General Practice Physician
MD.202191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06488035
—
MS
05
—
1002321
—
LA
Enumeration date
12/28/2007
Last updated
04/28/2015
Update your record
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