Individual
DR. BRIGITTE BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-1048
Mailing address
PO BOX 150, HOLLY, CO 81047-0150
(719) 537-0712
(719) 537-6284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L5244
TX
207L00000X
Anesthesiology Physician
Primary
34768
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01347681
—
CO
05
—
159068901
—
TX
Enumeration date
05/31/2005
Last updated
08/01/2012
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