| Doctor Name: | JOSHUA STEPHEN FOWLER |
| NPI Number: | 1154505931 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD.202191 |
| Business Practice Address: | 120 Meadowcrest St Suite 380 Gretna, LA - 700565255 |
| Business Phone Number: | 5043713955 |
| Business Fax Number: | |
| Mailing Address: | 1514 Jefferson Hwy, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701212429 |
| Phone Number: | 5048424000 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD.202191 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |