Organization
PATRICK FOWLER O.D. P.A.
Active
Other names
Fowler Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP PATRICK FOWLER O.D. (OPTOMETRIST)
(870) 761-4761
Entity
Organization
Contact information
Practice address
5501 S OLIVE ST, PINE BLUFF, AR 71603-7607
(870) 761-4761
(870) 534-7362
Mailing address
5501 S OLIVE ST, PINE BLUFF, AR 71603-7607
(870) 761-4761
(870) 534-7362
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152051722
—
AR
Enumeration date
08/04/2010
Last updated
08/04/2010
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