Rita L Fowler, PA

NPI #1356579478 in Fremont, Nebraska

Provider Information

NPI Number: 1356579478
Entity Type: Individual
Name: Rita L Fowler, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 26, 2009
Last Updated: Jul 24, 2012

Practice Location

Address: 1439 E 23RD ST
City: Fremont
State: Nebraska
ZIP Code: 68025-2433
Phone: (402) 721-8895

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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