Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1023141215
Practice Locations (2)
FOWLER ENTERPRISES INC
12127 HWY 14 N, SUITE B3
CEDAR CREST, NM 870089462
FOWLER ENTERPRISES INC
12127 N HWY 14 B-3, EAST MOUNTAIN PT
CEDAR CREST, NM 870089462
5052863678
Source: CMS National Downloadable File, September 2026.