Individual
DR. MARK J. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DODSON AVE, SUITE 230, FORT SMITH, AR 72901-5182
(479) 709-7490
(479) 709-7495
Mailing address
PO BOX 11450, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19869
SC
Other
Enumeration date
01/17/2006
Last updated
11/23/2016
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