Provider Demographics
NPI:1386369502
Name:COWARD, GERALD STANLEY
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:STANLEY
Last Name:COWARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 E QUINCY AVE APT F216
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2249
Mailing Address - Country:US
Mailing Address - Phone:720-334-6681
Mailing Address - Fax:
Practice Address - Street 1:9725 E HAMPDEN AVE STE 102
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4916
Practice Address - Country:US
Practice Address - Phone:720-309-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)