Provider Demographics
NPI:1063421014
Name:FOWERS, ROBERT GERALD II (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GERALD
Last Name:FOWERS
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HHC 121ST GEN HOS
Mailing Address - Street 2:BOX #111
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205-0177
Mailing Address - Country:KR
Mailing Address - Phone:01182119-101-4037
Mailing Address - Fax:
Practice Address - Street 1:HHC 121ST GEN HOS
Practice Address - Street 2:BOX #111
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96205-0177
Practice Address - Country:KR
Practice Address - Phone:01182119-101-4037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002448A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology