Individual
JOHN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9049 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-1875
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-1875
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26671
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DR.0068118
CO
Other
Enumeration date
05/26/2010
Last updated
04/25/2022
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