Individual
DR. MARK ROBERT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 569-7367
(805) 978-5782
Mailing address
DEPT LA 24939, PASADENA, CA 91185-4939
(314) 849-3535
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A180313
CA
Other
Enumeration date
05/12/2017
Last updated
01/20/2023
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