Individual
MR. SCOTT DAVID FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7500
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14205428-1206
UT
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
07/08/2026
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