Individual
CORY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4551-A NORTH DAVIS HWY, PENSACOLA, FL 32503-2782
(850) 494-9001
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 494-9001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109910
FL
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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