Individual
WAYNE L DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Mailing address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
29
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007095
KAISER-COMMERCIAL NUMBER
—
05
—
29822866
—
CO
Enumeration date
02/16/2007
Last updated
02/25/2015
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