Dr CODY J FOWLER is a male medical professional, specializing in Physician Assistant. He graduated in 2015.
IDAHO NEUROSURGERY AND SPINE PLLC
3345 POTOMAC WAY
IDAHO FALLS
ID
834044978
Tel: 2085526210
| Npi | 1386018950 |
| Pac Id | 7113229576 |
| Professional Enrollment Id | I20151231001840 |
| Last Name | FOWLER |
| First Name | CODY |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | IDAHO NEUROSURGERY AND SPINE PLLC |
| Group Practice Pac Id | 8325363773 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 3345 POTOMAC WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834044978 |
| Phone Number | 2085526210 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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