Individual
GREG ALAN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N GRAND AVE, SUITE 500, PUEBLO, CO 81003-2757
(719) 545-0663
(719) 595-7903
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 542-0809
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0034286
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34286
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342864
—
CO
Enumeration date
03/29/2006
Last updated
02/04/2016
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