Individual
MICHAEL E DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1079274
CO
363AM0700X
Medical Physician Assistant
Primary
2490
CO
363AS0400X
Surgical Physician Assistant
2490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024336
KAISER COMMERCIAL NUMBER
CO
05
—
57533831
—
CO
Enumeration date
06/12/2008
Last updated
05/15/2021
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