Individual
MR. BEN C FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1450 SUGARLAND DR, SHERIDAN, WY 82801-5730
(307) 673-5177
(307) 673-5170
Mailing address
1450 SUGARLAND DR, SHERIDAN, WY 82801-5730
(307) 673-5177
(307) 673-5170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8674385-9934
UT
Other
Enumeration date
10/06/2010
Last updated
11/30/2015
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