Provider Demographics
NPI:1013076108
Name:BOWMAN, WILLIAM J (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:BOWMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1390 S POTOMAC ST
Mailing Address - Street 2:SUITE 124
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-6165
Mailing Address - Country:US
Mailing Address - Phone:303-368-8611
Mailing Address - Fax:303-368-9791
Practice Address - Street 1:3464 S WILLOW ST
Practice Address - Street 2:SUITE 194
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4531
Practice Address - Country:US
Practice Address - Phone:303-755-2900
Practice Address - Fax:303-745-7997
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-10-18
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Provider Licenses
StateLicense IDTaxonomies
CO21343207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
840854490OtherTAXID
205119406OtherTAXID
CO01213438Medicaid
CO11961Medicare ID - Type Unspecified
CO01213438Medicaid
CO807540Medicare ID - Type Unspecified