Organization
INTERNAL MEDICINE OF CANON CITY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY MICHAEL CLOWER M.D. (PRESIDENT)
(719) 275-4151
Entity
Organization
Contact information
Practice address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 275-4141
(719) 275-3743
Mailing address
614 YALE PL, CANON CITY, CO 81212-4611
(719) 275-4141
(719) 275-3743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20545
CO
Other
Enumeration date
07/26/2006
Last updated
10/19/2007
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