Provider Demographics
NPI:1871730358
Name:FOWLER, JAMI LEE (RPA)
Entity type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:LEE
Last Name:FOWLER
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4500 S GARNETT RD STE 919
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5214
Mailing Address - Country:US
Mailing Address - Phone:918-728-6145
Mailing Address - Fax:918-664-2521
Practice Address - Street 1:4500 S GARNETT RD STE 919
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5214
Practice Address - Country:US
Practice Address - Phone:918-728-6145
Practice Address - Fax:918-664-2521
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant