Individual
DR. VINCENT ROY FOWLER
Active
Individual
DR. VINCENT ROY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
42759
AZ
207N00000X
Dermatology Physician
A30049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A300490
—
CA
Enumeration date
09/20/2006
Last updated
06/14/2019
Update your record
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