Search › Idaho › 1223X0400X
Brandon Fowler, D.D.S
NPI 1780830687 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2015 S Eagle Rd
Meridian, ID 83642 - Phone
- (208) 887-1053
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
1223X0400X - Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-04
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