Provider Demographics
NPI:1760801153
Name:ROWLAND, SHAWN COLLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:COLLIN
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 E COTTONWOOD PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-7060
Mailing Address - Country:US
Mailing Address - Phone:801-382-7879
Mailing Address - Fax:657-284-6973
Practice Address - Street 1:2825 E COTTONWOOD PKWY STE 500
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-7060
Practice Address - Country:US
Practice Address - Phone:801-382-7879
Practice Address - Fax:657-284-6973
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0762207Q00000X
UT8526216-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine