Individual
JEFFREY B FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 WILKINS CIRCLE, CASPER, WY 82601
(307) 265-1792
Mailing address
PO BOX 1363, IDAHO FALLS, ID 83403-1363
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6058A
WY
208D00000X
General Practice Physician
6058A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123789600
—
WY
Enumeration date
01/17/2007
Last updated
02/02/2026
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