Individual
DR. BETHANY CHRISTINE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 874-6089
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 874-6089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60848615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146044
—
WA
Enumeration date
04/16/2014
Last updated
12/03/2020
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