Individual
GARY K FOWERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 N 600 E, STE 102, LOGAN, UT 84341-2684
(435) 753-9999
(435) 753-0546
Mailing address
1325 N 600 E, STE 102, LOGAN, UT 84341-2684
(435) 753-9999
(435) 753-0546
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3584731205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870643195001
—
UT
Enumeration date
11/03/2005
Last updated
07/08/2007
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