Boualem Ait Ahmed, MDA

NPI #1306067111 in Denver, Colorado

Provider Information

NPI Number: 1306067111
Entity Type: Individual
Name: Boualem Ait Ahmed, MDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: MDA
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2045 FRANKLIN STREET
City: Denver
State: Colorado
ZIP Code: 80205
Phone: (303) 743-5855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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