Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Drelan Che-Stewart Fowler, PA-C

Individual provider Physician Assistant · NPI 1124367214

Drelan Che-Stewart Fowler, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 2011, 15 years ago. Practices with Craig M Rundbaken DO PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

919 12th Pl Ste 12
Prescott, AZ 86305-1433
Phone: (928) 227-1954
Fax: (480) 591-8225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5344 (AZ)

Record details

NPI number1124367214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2013
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Craig M Rundbaken Do Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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