Provider Demographics
NPI:1407316409
Name:BOWERS, TAYSA (DO)
Entity Type:Individual
Prefix:
First Name:TAYSA
Middle Name:
Last Name:BOWERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 TURNPIKE DR UNIT 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7044
Mailing Address - Country:US
Mailing Address - Phone:773-975-1600
Mailing Address - Fax:303-428-7449
Practice Address - Street 1:8601 TURNPIKE DR UNIT 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7044
Practice Address - Country:US
Practice Address - Phone:303-428-7449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0068022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine