Individual
DR. IRA J KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.C.
Contact information
Practice address
499 E HAMPDEN AVE, SUITE 250, ENGLEWOOD, CO 80113-2780
(303) 788-6678
(303) 788-6620
Mailing address
499 E HAMPDEN AVE, SUITE 250, ENGLEWOOD, CO 80113-2780
(303) 788-6678
(303) 788-6620
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
16373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01163732
—
CO
05
—
01663732
—
CO
01
—
060023415
RR MEDICARE
—
Enumeration date
10/11/2005
Last updated
08/08/2008
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