Healthcare Provider Details

I. General information

NPI: 1164538815
Provider Name (Legal Business Name): STEVEN FRANCIS FOWLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 NUUANU AVE #400
HONOLULU HI
96817-5192
US

IV. Provider business mailing address

4348 WAIALAE AVE #702
HONOLULU HI
96816-5767
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-1300
  • Fax: 808-521-1350
Mailing address:
  • Phone: 424-206-1919
  • Fax: 310-303-7944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD-12783
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: