GRADY FOWLER

Physician Assistant

NPI: 1033756887IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2019

Contact & Hours

Address: 2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110
Phone: (505) 724-4300

Quick Facts

NPI: 1033756887
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 7

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