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Contact Information

EDWARD D BOUDREAU, DO
615 W 5TH ST N
CHEYENNE WELLS, CO80810
 Phone: 719-767-5661
 Fax: 719-767-5098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EDWARD D BOUDREAU · (Male)

NPI Number 1528014461
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/25/2006
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CO License # 0063534
  • CO License # DR.0063534
Hospital affiliation(s)
  • DUBLIN METHODIST HOSPITAL - (Acute Care)
    7500 HOSPITAL AVENUE
    DUBLIN, OH 43016
  • LOST RIVERS DISTRICT HOSPITAL - (Critical Access)
    551 HIGHLAND DRIVE
    ARCO, ID 83213
  • MELISSA MEMORIAL HOSPITAL - (Critical Access)
    1001 E JOHNSON STREET
    HOLYOKE, CO 80734
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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