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Jason Fowlkes, M.D
NPI 1356534952 · on the registry since 2007 · sole proprietor
Practice
- Address
- 809 Davis St
Ste 1
Blacksburg, VA 24060 - Phone
- (540) 961-1590
- Organisation at this address
- Southwest Virginia Orthopedic And Spine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-19
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 Virginia