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Contact Information

BRENDEN M FOWLER, IDMT
86TH MEDICAL GROUP
UNIT 3215
APO, AE09094
 Phone: 405-388-9873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for BRENDEN M FOWLER · (Male)

NPI Number 1699394171
Status Active
Credentials IDMT
Entity Individual
Enumeration date 04/14/2020
Last updated 04/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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