Individual
DR. FREDERICK FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4001 HIGHWAY 104, IONE, CA 95640
(209) 274-4911
Mailing address
214 ASHWORTH DR, IONE, CA 95640-5436
(209) 274-4911
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A21296
CA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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