Christine Annmarie Davis-Fowler, PHYSICIAN ASSISTANT
NPI #1366501009 in Lauderdale Lakes, Florida
Provider Information
- NPI Number
- 1366501009
- Entity Type
- Individual
- Name
- Christine Annmarie Davis-Fowler, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 4410 W. OAKLAND PARK BLVD
- City
- Lauderdale Lakes
- State
- Florida
- ZIP Code
- 33313
- Phone
- (954) 533-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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