Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.37032 | AL |
Y | 2080P0214X | Pediatric Pulmonologist | MD.37032 | AL |
NPI | 1295116762 |
---|---|
Provider Name | Christopher Miles Fowler |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2015 |
Last Update Date | 01/02/2022 |