Tkb Fowler Do Inc

NPI 1215079892 - Family Medicine - 207Q00000X

NPI Details
NPI 1215079892
Enumeration Date 02/12/2007
Last Updated 07/03/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TERRY KB TERRY
Position PRESIDENT
Phone (714) 522-2891
Fax (714) 522-8176
Practice Location
6189 LA PALMA AVE
BUENA PARK CA, 90620-2858, US
Phone (714) 522-2891
Fax (714) 522-8176
Business Location
6189 LA PALMA AVE
BUENA PARK CA, 90620-2858, US
Phone (714) 522-2891
Fax (714) 522-8176
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 00AX78810
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According to our database, Tkb Fowler Do Inc NPI is 1215079892, taxonomy code is 207Q00000X and license number is 00AX78810, license state is located at California. Tkb Fowler Do Inc physically located at 6189 La Palma Ave, Buena Park CA, 90620-2858. NPI Number 1033115704 has the healthcare provider type.

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1215079892 NPI number is provided on an as is basis without warranty of any kind. 1215079892 is maintained by the National Plan & Provider Enumeration System. The contents of Tkb Fowler Do Inc are for informational purposes only.