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Individual

DR. GUSTAVO LUIS ISUANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 465-0401
Mailing address
42 GARDEN CTR, BROOMFIELD, CO 80020-1730
(303) 465-0401
(303) 438-1351

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D0050174
MD
2085R0202X
Diagnostic Radiology Physician
Primary
41718
CO
2085R0202X
Diagnostic Radiology Physician
D0050174
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66127009
CO
Enumeration date
02/17/2006
Last updated
04/15/2026
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