Richard J Fowl is a Vascular Surgery in Phoenix, Arizona. Richard J Fowl practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Richard J Fowl is 1235114711. The last update date is 2007-10-29.
Richard J Fowl's current location address is 5779 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Richard J Fowl is 5779 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard J Fowl |
---|---|
Address | 5779 E Mayo Blvd, Phoenix, Arizona |
Phone Number | 4803018000 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1235114711 |
---|---|
Provider Enumeration Date | 2005-12-07 |
Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
Address | 5779 E Mayo Blvd |
---|---|
City | Phoenix |
State | Arizona (AZ) |
Post Code | 850544502 |
Phone Number | 4803018000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
---|---|
Taxonomy | 2086S0129X |
Licence No | 23566 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
86080015085259A | AZ | TRIWEST | |
336421 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard J Fowl by the Centers for Medicare & Medicaid Services?
The Richard J Fowl has been assigned the NPI (National Provider Identifier) 1235114711 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Richard J Fowl's physical address?
The Richard J Fowl is physically located at 5779 E Mayo Blvd, in the city of Phoenix, AZ, with the postal code 850544502.
What is Richard J Fowl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard J Fowl is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Richard J Fowl receive its 1235114711 assignment from the Centers for Medicare & Medicaid Services?
The Richard J Fowl was assigned its 1235114711 by the Centers for Medicare & Medicaid Services on 2005-12-07.
When was the information regarding Richard J Fowl most recently updated?
The details pertaining to the Richard J Fowl, including its address, specialty, and other relevant information, were last refreshed on 2007-10-29.