Individual
MICHAEL ROBERT EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6525 GUNPARK DR # 150-504, BOULDER, CO 80301-3346
(720) 340-6306
Mailing address
6525 GUNPARK DR # 150-504, BOULDER, CO 80301-3346
(720) 340-6306
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36066
CO
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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