Individual
DR. DANIEL T FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 LEBANON RD # 114, MURFREESBORO, TN 37129-1392
(615) 225-4899
(615) 225-6381
Mailing address
3400 LEBANON RD # 114, MURFREESBORO, TN 37129-1392
(615) 225-4899
(615) 225-6381
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD7287
TN
2085R0204X
Vascular & Interventional Radiology Physician
15726
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118140000
—
WV
Enumeration date
07/19/2005
Last updated
10/29/2018
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