Individual
JOSHUA STEPHEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MEADOWCREST ST, SUITE 380, GRETNA, LA 70056-5255
(504) 371-3955
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
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
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