Fowers, Gary K

Fowers, Gary K is an individual health care provider with primary practice located at 1325 N 600 E Ste 102, Logan UT 84341-2684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fowers, Gary K can be contacted via phone (435) 753-9999.

Contact Information

Primary practice address
1325 N 600 E Ste 102 Logan UT 84341-2684
Fax: (435) 753-0546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 3584731205 Utah

Profile Details

NPI number 1457342818
LBN Legal business name Fowers, Gary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457342818 NPPES
Utah MEDICAID 870643195001

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