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Individual

DR. KORY B. FOWLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Mailing address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00036555
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8231979
WA
Enumeration date
10/14/2005
Last updated
07/08/2007
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