NPI 1134471592

Jackson Estes Fowler, MD

Practitioner Urology Physician Annapolis, MD

Practice location

Address: 1307 Beachview Rd, Annapolis, MD 21403-5007
Phone: (410) 268-1757

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0101021057 (VA)

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Registry record

NPI: 1134471592
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2012
Record last updated: 10 Oct 2012

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.