Individual
DR. JEFFREY V. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135-116TH AVENUE NE, SUITE 600, BELLEVUE, WA 98004
(425) 454-2656
(425) 455-2620
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124-3947
(425) 467-3655
(425) 635-6388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00039660
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00039660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209220
L & I
WA
05
—
8431124
—
WA
Enumeration date
04/20/2006
Last updated
04/12/2021
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