Individual
RITA L FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1439 E 23RD ST, FREMONT, NE 68025-2433
(402) 721-8895
(402) 721-6663
Mailing address
1439 E 23RD ST, FREMONT, NE 68025-2433
(402) 721-8895
(402) 721-6663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1448
NE
Other
Enumeration date
06/26/2009
Last updated
07/24/2012
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