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Cody Fowler, PA-C
Surgical Physician Assistant in Idaho Falls, Idaho
NPI 1386018950

Cody Fowler is a Surgical Physician Assistant based in Atlanta, ID and is specialized in Surgical. Cody Fowler practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Cody Fowler is 1386018950 and holds a License No. PA-1326 (Idaho).

The current practice location address for Cody Fowler is 3345 Potomac Way, Idaho Falls, ID and can be reached out via phone at 208-552-7572 and via fax at 208-552-7312. You can also correspond with Cody Fowler through the mailing address at PO BOX 277381, ATLANTA, GA - 30384-7381 (mailing address contact number: ).

Location: 3345 Potomac Way, Idaho Falls, ID, 30384-7381
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Provider Profile Details
NPI Number
1386018950
Provider Name
Cody Fowler
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3345 Potomac Way, Idaho Falls, ID, 30384-7381
Phone Number
208-552-7572
Fax Number
208-552-7312
Provider Enumeration Date
11/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3345 Potomac Way
City
State
Zip
83404-4978
Phone Number
208-552-7572
Fax Number
208-552-7312
person
Provider Business Mailing Address Details
Address
3345 Potomac Way
City
State
Zip
83404-4978
Phone Number
208-552-7572
Fax Number
208-552-7312
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA-1326 (Idaho)
Definition
Definition to come...
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