Individual
BRIAN S GEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 440-2273
Mailing address
2521 BROADWAY ST, #201, BOULDER, CO 80304-4238
(303) 443-0476
(877) 804-3532
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR-49518
CO
207L00000X
Anesthesiology Physician
MD-14320
HI
Other
Enumeration date
06/06/2007
Last updated
02/14/2011
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