Zachary A. Fowler D.O.
Family Medicine Physician in Tulsa, OK(View on Map)
Full Name
Zachary Alan Fowler D.O.
NPI Number
1164659983
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/18/2009
Specialties
(Taxonomies)Licenses
State
Oklahoma
License Number
4900
Contact
Information
Purpose
Mailing
Location
Address
1717 S UTICA AVE STE A
1717 S UTICA AVE STE A
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74104-5346
74104-5346
Country
US
US
Telephone Number
(918) 748-7557
(918) 748-7557
Identifiers
Identifier
200294460B
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/05/2014
Provider Address
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