National Provider Identifier

Cody Charles Fowler, MD

Cody Charles Fowler, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1972252641Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1972252641
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 21, 2022
Last Updated
March 21, 2022

Practice Location

  • 601 Elmwood Avenue Box Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 2427 Bainbridge St
  • Philadelphia, PA 19146-1014

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1972252641
Entity Type
Individual
Last Name
Fowler
First Name
Cody
Middle Name
Charles
Credential
MD
Mailing Street Address
2427 Bainbridge St
Mailing City
Philadelphia
Mailing State
PA
Mailing ZIP Code
19146-1014
Mailing Country
US
Mailing Phone
(650) 862-2412
Practice Street Address
601 Elmwood Avenue Box Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 21, 2022
Last Updated
March 21, 2022
Sex
Male
Sole Proprietor
No
Certification Date
March 21, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)