Scott J. Fowler, D.O. Valid NPI
Individual provider · Family Medicine Physician · Broken Arrow, OK
- NPI
- 1952563892
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 4635 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-07-01
- Last updated
- 2019-12-03
Practice location
1130 E Lansing St
Broken Arrow, OK 74012-2429
(918) 258-9990