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Individual

WILLIAM H BRUBAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1155 ALPINE AVE, SUITE 360, BOULDER, CO 80304-3495
(303) 442-8840
(303) 440-9629
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18089
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01180892
CO
Enumeration date
11/17/2005
Last updated
12/21/2011
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