| NPI | 1417396441 |
|---|---|
| Doing Business As | BEN C. FOWLER OD |
| Entity Type | Organization |
| Authorized Contact | BEN C FOWLER Manager 307-438-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |