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Individual

JEFFREY DAVID BUSHNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
24300 E SMOKY HILL RD, AURORA, CO 80016-1387
(303) 330-0410
(303) 330-0732
Mailing address
1805 SHEA CENTER DR STE 301, HIGHLANDS RANCH, CO 80129-2277
(303) 330-0410
(303) 330-0732

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43876
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79630090
CO
Enumeration date
11/22/2005
Last updated
04/08/2022
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