Whalio Doctors

NPI 1023664620

Jarrett James Fowler, PA

Practitioner Physician Assistant Rapid City, SD

Practice location

Address
353 Fairmont Blvd, Rapid City, SD 57701-7375
Phone
(605) 755-1000
Mailing address
PO Box 912882, Denver, CO 80291-2882

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1207 (SD)

Registry record

NPI
1023664620
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2019
Record last updated
11 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.