Healthcare Provider Details

I. General information

NPI: 1326820044
Provider Name (Legal Business Name): JAMES MCGOWAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2023
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3095 S PARKER RD FL 2
AURORA CO
80014-2924
US

IV. Provider business mailing address

3095 S PARKER RD FL 2
AURORA CO
80014-2924
US

V. Phone/Fax

Practice location:
  • Phone: 720-634-9500
  • Fax: 877-599-0808
Mailing address:
  • Phone: 720-634-9500
  • Fax: 877-599-0808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89078
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: