Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD DAVID BOUDREAU, D.O.
ActiveDR. EDWARD DAVID BOUDREAU, D.O. is a Family Medicine healthcare provider located in CHEYENNE WELLS, Colorado. NPI 1528014461 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CHEYENNE WELLS, CO
Registration Details
- NPI Number
- 1528014461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.037453093615 yrs)
- Last Updated
- Dec 5, 2023
- Licenses
-
0063534 (CO)DR.0063534 (CO)
Practice Information
- Address
-
615 W 5TH ST NCHEYENNE WELLS, CO, 80810Browse CO providers · Browse ZIP 80810
- Phone
- 7197675661
- Fax
- 7197675098
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CHEYENNE WELLS, CO
| Name | Credential | NPI |
|---|---|---|
| BRIAN LOYD MILES | MD | 1316940786 |
| DR. CHRISTINE A CONNOLLY | MD | 1992787840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.