Individual
FRED JOWDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2204 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2662
(208) 765-8585
(208) 765-8486
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(800) 394-4445
(706) 396-3252
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
IT40000981
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-696A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807814700
—
ID
Enumeration date
06/27/2007
Last updated
10/08/2025
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