ROBERT W. FOWLER, M.D. A PROFESSIONAL CORPORATION
Radiology at Colby St, Berkeley, CA

License number
California C32648
Category
Radiology
Type
Surgery
Owner
Name: RUTH DEMERY
Title: PRACTICE MANGER
Phone: (510) 644-1152
Address
Address
3010 Colby St SUITE 110, Berkeley, CA 94705
National Provider ID: 1417084690
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT W. FOWLER, M.D. PROFESSIONAL CORPORATION

3010 Colby St STE 110, Berkeley, CA 94705

Status:
Inactive
Registration:
Dec 13, 1978
State ID:
C0905419
Business type:
Articles of Incorporation
President:
Robert W. Fowler (President)
Agent:
Robert W Fowler,Berkeley, CA 94705 (Physical)

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