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Individual

RICHARD D. BRUESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6545 GUNPARK DRIVE, STE 250, BOULDER, CO 80301-3350
(303) 530-1973
(303) 530-1973
Mailing address
6545 GUNPARK DRIVE, STE 250, BOULDER,, CO 80301-3350
(303) 530-1973
(303) 530-1973

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1549
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BRR33595
BLUE CROSS BLUE SHIELD OF COLORADO
CO
Enumeration date
09/21/2005
Last updated
12/18/2008
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