Individual
JOHNNY M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-5346
(918) 494-6303
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22822
OK
Other
Enumeration date
12/27/2005
Last updated
04/20/2008
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