CODY FOWLER

IDAHO FALLS, ID
NPI1386018950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-1326)
Enumeration Date2015-11-19
Last Update Date2022-02-08
Business Address
-- CODY FOWLER P.A.-C
3345 POTOMAC WAY
IDAHO FALLS, ID 83404-4978
Phone number: 208-552-7572
Mailing Address
-- CODY FOWLER P.A.-C
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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