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NPI Code Detail

MEDICARE: DR. SHAWN COLLIN ROWLAND M.D.

MEDICARE: DR. SHAWN COLLIN ROWLAND M.D.
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
1207Q00000XFamily Medicine PhysicianMD2019-0762NM
2207Q00000XFamily Medicine Physician8526216-1205UT

General Provider Information

NPI Number : 1760801153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN COLLIN ROWLAND M.D.
Provider Business Mailing Address
First Line : 2825 E COTTONWOOD PKWY STE 500
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-7060
Country : US
Telephone Number : 801-382-7879
Fax Number : 657-284-6973
Provider Business Practice Location Address
First Line : 2825 E COTTONWOOD PKWY STE 500
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-7060
Country : US
Telephone Number : 801-382-7879
Fax Number : 657-284-6973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2014
Last Update Date : 01/07/2022

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