Individual
DR. PATRICK M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5560 W 44TH AVE, DENVER, CO 80212-7338
(303) 421-2424
(303) 421-2155
Mailing address
5560 W 44TH AVE, DENVER, CO 80212-7338
(303) 421-2424
(303) 421-2155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08007536
—
CO
01
—
410008892
PALMETTO GBA - RAILROAD MEDICARE
CO
Enumeration date
06/01/2005
Last updated
05/07/2008
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