Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Scott David Fowler, PA

Individual provider Physician Assistant · NPI 1215204755

Mr. Scott David Fowler, PA is a Physician Assistant in Fort Eustis, Virginia. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

576 Jefferson Ave
Fort Eustis, VA 23604-1373
Phone: (757) 314-7500
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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 14205428-1206 (UT)

Record details

NPI number1215204755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 29, 2011
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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