Grady Fowler

Physician Assistant · Albuquerque, NM

Primary taxonomy

363A00000X

Enumerated

2019-11-27

Practice location

Albuquerque, NM

Last NPPES update

2022-01-06

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.