Individual
PATRICK T FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G78482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G784820
—
CA
01
—
05D0617976
CLIA ID
CA
01
—
340016697
RAILROAD MEDICARE
CA
01
—
CP5241
RAILROAD MEDICARE GROUP
CA
01
—
G78482
MEDICAL LICENSE
CA
05
—
ZZZ78528Z
—
CA
Enumeration date
11/21/2006
Last updated
01/14/2026
Update your record
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