Individual
JOSHUA R FOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 VICTORIA ST VICTORIA BUILDING 360A, PITTSBURGH, PA 15261-0001
(412) 383-5136
Mailing address
875 CHARLESTON RD, RIPLEY, WV 25271-1576
(801) 655-3413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
107836
WV
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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