DR. Edward David Boudreau, D.O.

NPI #1528014461 in Cheyenne Wells, Colorado

Provider Information

NPI Number: 1528014461
Entity Type: Individual
Name: DR. Edward David Boudreau, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: May 25, 2006
Last Updated: Dec 5, 2023

Practice Location

Address: 615 W 5TH ST N
City: Cheyenne Wells
State: Colorado
ZIP Code: 80810
Phone: (719) 767-5661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Family Medicine	207Q00000X	Primary

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