Individual
DR. MARJORIEB B FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STUDENT HEALTH SERVICE, MONTANA STATE UNIVERSITY, BOZEMAN, MT 59715
(406) 994-2311
Mailing address
31 GARDNER PARK DR, BOZEMAN, MT 59715-9229
(406) 587-0192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3896
MT
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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