Individual
MARY DAN EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6525 GUNPARK DR # 150-504, BOULDER, CO 80301-3346
(720) 340-6306
(805) 565-3142
Mailing address
6525 GUNPARK DR # 150-504, BOULDER, CO 80301-3346
(720) 340-6306
(805) 565-3142
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36065
CO
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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