Individual provider · Type 1 NPI
Marian A. Fowler, PAC
Surgical Physician Assistant · Van Nuys, CA
NPI number
1093841629
Active
Practice location
6815 Noble Ave
Van Nuys, CA 91405-3796
Fax (818) 901-6680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA16557 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1093841629
Marian A. Fowler, PAC's National Provider Identifier is 1093841629, issued on Feb 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Van Nuys, CA. The record was last updated on Jul 8, 2007.