Individual
GAGE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6000
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 314-6000
(479) 314-5185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R109320
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
233166
AR
Other
Enumeration date
03/31/2025
Last updated
07/22/2025
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