Individual
TROY W. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
203 12TH AVE RD, NAMPA, ID 83686-5012
(208) 466-3338
(208) 466-3554
Mailing address
203 12TH AVE RD, NAMPA, ID 83686-5012
(208) 466-3338
(208) 466-3554
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P-257
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-257
ID
Other
Enumeration date
05/20/2013
Last updated
09/20/2016
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