Provider Demographics
NPI:1912952425
Name:GOW, ANDREW R (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:R
Last Name:GOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 ABARR DR. STE 120
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-622-8775
Mailing Address - Fax:
Practice Address - Street 1:2530 ABARR DR
Practice Address - Street 2:STE 120
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-3170
Practice Address - Country:US
Practice Address - Phone:970-622-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCD2723Medicare ID - Type Unspecified
COU75868Medicare UPIN