Individual
DR. JAMES RUSSELL BOEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 PINION DR, SUITE 100, U S A F ACADEMY, CO 80840-2502
(719) 333-5200
Mailing address
5080 CHAMPAGNE DR, COLORADO SPRINGS, CO 80919-3165
(719) 264-0996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30377
CO
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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