DR. RICHARD J FOWL M.D. NPI 1235114711

NPI Information

NPI: 1235114711
Provider Name: DR. RICHARD J FOWL, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
5779 E MAYO BLVD
PHOENIX, AZ
ZIP 85054
Phone: (480) 301-8000
Get Directions

DR. Richard J Fowl, M.D. is a vascular surgery surgery in Phoenix, AZ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Richard J Fowl, M.D. NPI is 1235114711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5779 E MAYO BLVD
PHOENIX, AZ
ZIP 85054-502
Phone: (480) 301-8000

The enumeration date for this NPI number is 12/7/2005 and was last updated on 10/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	23566	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A16132	MEDICARE UPIN
2	336421	MEDICAID	ARIZONA
3	Z78WCGTB02	MEDICARE PIN	ARIZONA
4	86080015085259A054	OTHER	ARIZONA	TRIWEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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