Individual
DR. DARLENE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
TARGET OPTICAL, 13731 W. BELL RD., SURPRISE, AZ 85374-3871
(623) 975-4404
(623) 975-4487
Mailing address
18250 N 32ND ST UNIT 1051, PHOENIX, AZ 85032-1222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001385
VA
152W00000X
Optometrist
Primary
1488
AZ
152W00000X
Optometrist
TA1827
MD
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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