Basic Information
Provider Information
NPI: 1386955417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COWAN
FirstName: ALISON
MiddleName: ANNE DORMER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2500 ROCKY MOUNTAIN AVE STE 2200
Address2:  
City: LOVELAND
State: CO
PostalCode: 805389004
CountryCode: US
TelephoneNumber: 9703361500
FaxNumber: 9703361505
Practice Location
Address1: 2500 ROCKY MOUNTAIN AVE STE 2200
Address2:  
City: LOVELAND
State: CO
PostalCode: 805389004
CountryCode: US
TelephoneNumber: 9702037153
FaxNumber: 9703361505
Other Information
ProviderEnumerationDate: 06/23/2010
LastUpdateDate: 05/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XDR.0053223COY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X125058000ILN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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