Provider Demographics
NPI:1831182203
Name:COWAN, BARRETT E (MD)
Entity type:Individual
Prefix:
First Name:BARRETT
Middle Name:E
Last Name:COWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13009 S PARKER RD UNIT 393
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3449
Mailing Address - Country:US
Mailing Address - Phone:720-666-4739
Mailing Address - Fax:833-449-4351
Practice Address - Street 1:9100 E PANORAMA DR STE 250
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-7212
Practice Address - Country:US
Practice Address - Phone:720-666-4739
Practice Address - Fax:833-449-4351
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2024-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA89781208800000X
FLME159390208800000X
CO36203208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01362037Medicaid
CO01362037Medicaid
COC90968Medicare PIN
CO0823860001Medicare NSC