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Dr. Richard J Fowl, MD
Vascular Surgery Physician in Phoenix, Arizona
NPI 1235114711

Richard J Fowl is a Vascular Surgery Physician based in Phoenix, AZ and is specialized in Vascular Surgery. Richard J Fowl practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Richard J Fowl is 1235114711 and holds a License No. 23566 (Arizona).

The current practice location address for Richard J Fowl is 5779 E Mayo Blvd, Phoenix, AZ and can be reached out via phone at 480-301-8000.

Location: 5779 E Mayo Blvd, Phoenix, AZ, 85054-4502
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Provider Profile Details
NPI Number
1235114711
Provider Name
Richard J Fowl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5779 E Mayo Blvd, Phoenix, AZ, 85054-4502
Phone Number
480-301-8000
Fax Number
Provider Enumeration Date
12/07/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770000948 01 AZ RAILROAD MEDICARE
86080015085259A054 01 AZ TRIWEST
336421 05 AZ
institution
Provider Business Practice Location Address Details
Address
5779 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
480-301-8000
Fax Number
person
Provider Business Mailing Address Details
Address
5779 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
480-301-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
23566 (Arizona)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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