| Organization Name: | W.R. FOWLER, M.D.,LLC |
| NPI Number: | 1043339880 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LE ANN ROBINSON (CONSULTANT) |
| Mailing Address: | 3185 N Leslie Rd Silver City |
| State: | NM US |
| Postal Code: | 880617211 |
| Phone Number: | 5053883393 |
| Fax Number: | 5053882696 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |