Individual
DR. ANTHONY WAYNE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
250 FAME AVE, SUITE 222, HANOVER, PA 17331-1587
(717) 646-9300
(717) 646-9322
Mailing address
250 FAME AVE, SUITE 222, HANOVER, PA 17331-1587
(717) 646-9300
(717) 737-4886
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000219651
BLUE SHIELD
PA
05
—
001822982
—
PA
01
—
01726501
BLUE CROSS
PA
Enumeration date
11/22/2006
Last updated
09/26/2011
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