Dr. Burt N Fowler
Cardiothoracic Vascular Surgeon
175 S Union Blvd #115
Colorado Springs
, Colorado 80910-3113
Dr. Burt N Fowler
Cardiothoracic Vascular Surgeon
175 S Union Blvd #115
Colorado Springs
, Colorado 80910-3113
(719) 577-4040
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Burt N Fowler
- 175 S Union Blvd Ste 115
- Colorado Springs, CO
- Zip : 80910-3117
- Phone : (719) 577-4040
Second Address
- Dr. Burt N Fowler
- 175 S Union Blvd #115
- Colorado Springs, CO
- Zip : 80910-3113
- Fax : (719) 365-5530
- Phone : (719) 365-5445
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 44178 | CO |
National Provider Identifier
| NPI | 1043246366 |
|---|---|
| Provider Name | Dr. Burt N Fowler |
| First Address | Colorado Springs, CO 80910-3117 |
| Second Address | Colorado Springs, CO 80910-3113 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 07/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 42653371 | (05) | CO |
| C97767 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.