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Individual

DR. DAVID ANDREW FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
13028 INTERURBAN AVE S, SUITE 106, TUKWILA, WA 98168-3340
(206) 957-7950
(206) 957-7952
Mailing address
13028 INTERURBAN AVE S, SUITE 106, TUKWILA, WA 98168-3340
(206) 957-7950
(206) 957-7952

Taxonomy

Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC27430
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC0274300
BLUE SHIELD
CA
Enumeration date
07/07/2006
Last updated
01/13/2010
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