Individual
DR. SCOTT J. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9990
(918) 251-9399
Mailing address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9990
(918) 251-9399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4635
OK
Other
Enumeration date
07/01/2008
Last updated
12/03/2019
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