Edward David Boudreau in Cheyenne Wells - Family Medicine
Edward David Boudreau - NPI 1528014461
Edward David Boudreau is a Family Medicine in Cheyenne Wells, Colorado. Edward David Boudreau practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edward David Boudreau is 1528014461. The last update date is 2023-12-05.
Edward David Boudreau's current location address is Po Box 578, Cheyenne Wells, Colorado. You can contact this provider via phone number 7197675662 and fax number 7194513423. The mailing address for Edward David Boudreau is Po Box 578, Cheyenne Wells, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward David Boudreau |
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Address | Po Box 578, Cheyenne Wells, Colorado |
Phone Number | 7197675662 |
Fax Number | 7194513423 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1528014461 |
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Provider Enumeration Date | 2006-05-25 |
Last Updated Date | 2023-12-05 |
Provider Mailing Address Detail
Address | Po Box 578 |
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City | Cheyenne Wells |
State | Colorado (CO) |
Post Code | 808100578 |
Phone Number | 7197675662 |
Fax Number | 7194513423 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | DR.0063534 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Edward David Boudreau by the Centers for Medicare & Medicaid Services?
The Edward David Boudreau has been issued the NPI (National Provider Identifier) 1528014461. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Edward David Boudreau is located?
The Edward David Boudreau is situated at the following address: Po Box 578, Cheyenne Wells, CO, 808100578.
What is Edward David Boudreau's area of expertise and its corresponding taxonomy classification?
The Edward David Boudreau's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1528014461 assigned to Edward David Boudreau?
The Edward David Boudreau was issued its 1528014461 on 2006-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Edward David Boudreau most recently updated or revised?
The information pertaining to Edward David Boudreau, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-05.