MR. Mark Thomas Fowler, ATC

NPI #1720252141 in Atherton, California

Provider Information

NPI Number
1720252141
Entity Type
Individual
Name
MR. Mark Thomas Fowler, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 16, 2008
Last Updated
Apr 16, 2008

Practice Location

Address
1000 EL CAMINO REAL
ZIP Code
94027-4300
Phone
(650) 543-3931

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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