Fowler, Cody

Fowler, Cody is an individual health care provider with primary practice located at 3345 Potomac Way , Idaho Falls ID 83404-4978. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fowler, Cody can be contacted via phone (208) 552-7572.

Contact Information

Primary practice address
3345 Potomac Way Idaho Falls ID 83404-4978
Phone: (208) 552-7572
Fax: (208) 552-7312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1326 Idaho

Profile Details

NPI number 1386018950
LBN Legal business name Fowler, Cody
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2015
Last updated Feb 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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