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Brent Boudreaux
NPI 1629367099 · on the registry since 2011
Practice
- Address
- 20901 E Smoky Hill Rd
Aurora, CO 80015 - Phone
- (303) 400-0627
- Fax
- (303) 400-0633
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado