Individual
JASON M. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
455 S WASHINGTON ST STE 12, GETTYSBURG, PA 17325-2516
(717) 339-2875
(717) 334-3921
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054391
PA
363AM0700X
Medical Physician Assistant
Primary
MA054391
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12238641
CAQH
—
Enumeration date
07/23/2010
Last updated
05/11/2026
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