Individual
DR. BRIAN ANDREW BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.133231
OH
207Q00000X
Family Medicine Physician
Primary
DR.0075378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029722
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/12/2016
Last updated
08/28/2025
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