Individual
TERRY MICHAEL CLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 275-4151
(719) 275-3743
Mailing address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 275-4151
(719) 275-3743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20545
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01205459
—
CO
01
—
CL18871
BLUE CROSS OF COLORADO
CO
Enumeration date
07/08/2005
Last updated
11/04/2011
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