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Individual

JAMIE JONATHAN DOUCET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4743 ARAPAHOE AVE, SUITE 201, BOULDER, CO 80303-1113
(303) 442-2395
(303) 442-1073
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 442-2395
(303) 442-1073

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38570
CO
207RI0011X
Interventional Cardiology Physician
Primary
DR.0038570
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08972332
CO
Enumeration date
06/01/2006
Last updated
03/17/2018
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