| Brandon Ray Fowler, LPN | |
|
9675 N 5750 W, Highland, UT 84003-9150 | |
| (801) 369-0003 | |
| Not Available |
| Full Name | Brandon Ray Fowler |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 9675 N 5750 W, Highland, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588097521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 6581184-3101 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 | Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 |
News Archive
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