Individual
PATRICK BUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 EXEMPLA CIR, SUITE 230, LAFAYETTE, CO 80026-3397
(303) 781-4485
(720) 274-0064
Mailing address
PO BOX 17528, DENVER, CO 80217-0528
(405) 682-3303
(405) 384-6793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2008006727
MO
2084N0400X
Neurology Physician
Primary
DR-48900
CO
2084V0102X
Vascular Neurology Physician
DR-48900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20856865
—
CO
Enumeration date
01/17/2007
Last updated
07/07/2020
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