Randall Fowler, MD

NPI #1154344059 in Pocatello, Idaho

Provider Information

NPI Number
1154344059
Entity Type
Individual
Name
Randall Fowler, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine
Credential
MD
Enumeration Date
Jul 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
651 MEMORIAL DR
State
Idaho
ZIP Code
83201-4071
Phone
(208) 239-1000

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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