Individual
DR. JOEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10914 HEFNER POINTE DR, SUITE 202, OKLAHOMA CITY, OK 73120-5066
(405) 815-6840
(405) 815-6839
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 815-6840
(405) 815-6839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22295
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108150A
—
OK
Enumeration date
03/28/2006
Last updated
07/14/2017
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