IndividualActive
Justin Fowler, MD
NPI 1386835585 · Surgical Critical Care Physician · Boise, ID
Provider details
- NPI number
- 1386835585
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-13069 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Military Health Care Provider171000000X
Practice location
6165 W Emerald St
Boise, ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
Approximate (ZIP-level) locationGet directions
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Additional practice locations (5)
- 6565 E Carondelet Dr Ste 235Tucson, AZ 85710-3533Phone: (520) 367-1050
- 2606 Hospital Blvd Ste ECorpus Christi, TX 78405Phone: (361) 902-4766Fax: (361) 902-6571
- 613 Elizabeth St Ste 804Corpus Christi, TX 78404-2231Phone: (361) 217-6264
- 5005 N Piedras StEl Paso, TX 79920-5001Phone: (915) 569-2288Fax: (915) 569-1919
- 3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (210) 539-9582
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.