Individual
DR. IAN MICHAEL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5781
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5781
(808) 433-3006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A92246
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A92246
CA
Other
Enumeration date
02/02/2006
Last updated
06/20/2023
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