Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN FOWLER, MD
ActiveSurgical Critical Care · BOISE, ID
Registration Details
- NPI Number
- 1386835585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2007 (18.728309032917 yrs)
- Last Updated
- Dec 16, 2024
- Licenses
-
M-13069 (ID)M-13069 (ID)MD2014-0304 (NM)2016027259 (MO)Q6009 (TX)
Practice Information
- Address
-
6165 W EMERALD STBOISE, ID, 837048613Browse ID providers · Browse ZIP 83704
- Phone
- 2083023900
- Fax
- 2083023955
- Primary Specialty
-
Surgical Critical Care
2086S0102X
- Additional Specialty
- Surgical Critical Care
- Additional Specialty
- Orthopaedic Trauma
- Additional Specialty
- Orthopaedic Trauma
- Additional Specialty
- Orthopaedic Trauma
Other Surgical Critical Care Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JULIE L. WYNNE | M.D. | 1336115401 |
| DR. JEREMY HENRY CONKLIN | DO | 1700830882 |
| STEPHEN C GALE | MD | 1407862410 |
| DR. KAHDI F UDOBI | MD | 1205935624 |
| DR. SCOTT MICHAEL JOHN | M.D. | 1821382839 |
| DR. CALEB JAMES MENTZER | DO | 1285920223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.