Robert W. Fowler, M.d. a Professional Corporation

NPI #1417084690 in Berkeley, California

Provider Information

NPI Number: 1417084690
Entity Type: Organization
Organization Name: Robert W. Fowler, M.d. a Professional Corporation
Primary Specialty: Surgery
Enumeration Date: Feb 27, 2007
Last Updated: Apr 23, 2008

Practice Location

Address: 3010 COLBY ST
Address 2: SUITE 110
City: Berkeley
State: California
ZIP Code: 94705-2059
Phone: (510) 644-1152

Authorized Official

Name: RUTH DEMERY
Title: PRACTICE MANGER
Phone: (510) 644-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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