Dr. Tyler Michael Fowler, DO
Emergency Medicine in Las Vegas, NV. Individual provider (NPI-1).
NPI number1942947148
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1942947148
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tyler Michael Fowler
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2022
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DO3989 | NV | Yes |
Practice location
620 Shadow LnLas Vegas, NV 89106-4194
Phone 702-388-4000
Mailing address
893 Cantura Mills RdHenderson, NV 89052-0423
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