Organization
ROBERT W. FOWLER, M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH DEMERY (PRACTICE MANGER)
(510) 644-1152
Entity
Organization
Contact information
Practice address
3010 COLBY ST, SUITE 110, BERKELEY, CA 94705-2059
(510) 644-1152
(510) 666-1087
Mailing address
3010 COLBY ST, SUITE 110, BERKELEY, CA 94705-2059
(510) 644-1152
(510) 666-1087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C32648
CA
Other
Enumeration date
02/27/2007
Last updated
04/23/2008
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