Individual
SARAH E BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 584-4861
Mailing address
4043 LAS CASAS AVE, CLAREMONT, CA 91711-2324
(909) 833-5355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A13056
CA
207P00000X
Emergency Medicine Physician
CA20A13056
CA
207P00000X
Emergency Medicine Physician
DO3822
NV
207P00000X
Emergency Medicine Physician
Primary
DR.0058402
CO
Other
Enumeration date
05/24/2012
Last updated
07/30/2025
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