MEDICARE: DR. JOSEPH W PROWS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	52839	CO

General Provider Information

NPI Number	:	1417183070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH W PROWS MD

Provider Business Mailing Address
First Line	:	418 S HOWES ST UNIT 200-B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2802
Country	:	US
Telephone Number	:	970-286-0225
Fax Number	:	970-829-0385

Provider Business Practice Location Address
First Line	:	418 S HOWES ST UNIT 200-B
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2802
Country	:	US
Telephone Number	:	970-286-0225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2009
Last Update Date	:	04/21/2025

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