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Dr. Edward David Boudreau, DO
Family Medicine Physician in Cheyenne Wells, Colorado
NPI 1528014461

Edward David Boudreau is a Family Medicine Physician based in Cheyenne Wells, CO. Edward David Boudreau practices in Cheyenne Wells, CO and has the professional credentials of DO. The NPI Number for Edward David Boudreau is 1528014461 and holds a License No. 0063534 (Colorado).

The current practice location address for Edward David Boudreau is 615 W 5Th St N, Cheyenne Wells, CO and can be reached out via phone at 719-767-5661 and via fax at 719-767-5098.

Location: 615 W 5Th St N, Cheyenne Wells, CO, 80810-0578
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528014461
Provider Name
Edward David Boudreau
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
615 W 5Th St N, Cheyenne Wells, CO, 80810-0578
Phone Number
719-767-5661
Fax Number
719-767-5098
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
615 W 5Th St N
City
Cheyenne Wells
State
Colorado
Zip
80810
Phone Number
719-767-5661
Fax Number
719-767-5098
person
Provider Business Mailing Address Details
Address
615 W 5Th St N
City
Cheyenne Wells
State
Colorado
Zip
80810
Phone Number
719-767-5661
Fax Number
719-767-5098
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
DR.0063534 (Colorado)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0063534 (Colorado)
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 is not limited by age, sex, organ system, or disease entity.
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