Allen Fowler, ADC

NPI 1144190570 · on the registry since 2025

Practice

Address: 1020 Land Bank St
Idaho Falls, ID 83402
Phone: (208) 520-6992
Fax: (208) 522-6165
Organisation at this address: Brick House Recovery
Brick House Recovery
Landbank Laboratories, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho