Individual
CHARLES ROBERT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W OTTLEY AVE, FRUITA, CO 81521-2118
(970) 858-2149
(970) 858-2200
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2149
(970) 858-2200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0028733
CO
Other
Enumeration date
08/01/2006
Last updated
04/20/2022
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