| NPI | 1073807301 |
|---|---|
| Doing Business As | FOWLER ALLERGY |
| Entity Type | Organization |
| Authorized Contact | LAURIE B FOWLER Owner 573-474-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO MD103556) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |