JACK H. FOWLER

MOBILE, AL
NPI1811952500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-062685)
Enumeration Date2006-04-18
Last Update Date2009-01-12
Business Address
Mr. JACK H. FOWLER CRNA
6801 AIRPORT BLVD
MOBILE, AL 36608-3709
Phone number: 251-631-3270
Mailing Address
Mr. JACK H. FOWLER CRNA
612 SHENANDOAH RD W
MOBILE, AL 36608-3353
Phone number: 251-344-3180
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