Jason Fowlkes, M.D.

NPI #1356534952 in Blacksburg, Virginia

Provider Information

NPI Number: 1356534952
Entity Type: Individual
Name: Jason Fowlkes, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Aug 27, 2007
Last Updated: Jan 19, 2010

Practice Location

Address: 809 DAVIS ST
Address 2: STE 1
City: Blacksburg
State: Virginia
ZIP Code: 24060-7013
Phone: (540) 961-1590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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