GLENN W FOWLER

ORANGE, CA
NPI1104848274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: CA  C27260)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  C27260)
Enumeration Date2006-07-24
Last Update Date2023-03-07
Business Address
-- GLENN W FOWLER MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-8068
Mailing Address
-- GLENN W FOWLER MD
PO BOX 54559
LOS ANGELES, CA 90054-0559
Phone number: 714-456-8068