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Contact Information

ANDREW BOULOS, DO
1600 N GRAND AVE STE 140
PUEBLO, CO81003-2755
 Phone: 719-564-1542
 Fax: 719-566-0916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANDREW BOULOS · (Male)

NPI Number 1689010100
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/13/2013
Last updated 12/23/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0058436
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
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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