Fowler Family Practice | |
9745 Fairway Blvd Powell OH 43065-6947 | |
(614) 766-5722 | |
Not Available |
Full Name | Fowler Family Practice |
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Speciality | Dentist |
Location | 9745 Fairway Blvd, Powell, Ohio |
Authorized Official Name and Position | Kathy Dotson (CREDENTIAL MANAGER) |
Authorized Official Contact | 6144419212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fowler Family Practice 9745 Fairway Blvd Powell OH 43065-6947 Ph: (614) 766-5722 | Fowler Family Practice 9745 Fairway Blvd Powell OH 43065-6947 Ph: (614) 766-5722 |
NPI Number | 1710304415 |
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Provider Enumeration Date | 03/20/2014 |
Last Update Date | 03/20/2014 |
Identifier | Type | State | Issuer |
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1710304415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 30023906 (Ohio) | Primary |
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