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NPI Code Detail

MEDICARE: DR. JOSHUA BEAUDRY D.C.

MEDICARE:  DR. JOSHUA  BEAUDRY  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301009656MI
2111N00000XChiropractor6657CO

General Provider Information

NPI Number : 1376864850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA BEAUDRY D.C.
Provider Business Mailing Address
First Line : 1355 S COLORADO BLVD
Second Line : # C303
City : DENVER
State : CO
Zip : 80222-3305
Country : US
Telephone Number : 303-770-0605
Fax Number :
Provider Business Practice Location Address
First Line : 7200 E DRY CREEK RD
Second Line : SUITE G101
City : CENTENNIAL
State : CO
Zip : 80112-2537
Country : US
Telephone Number : 303-770-0605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 01/27/2016

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Directions to “ DR. JOSHUA BEAUDRY D.C.” Practice Location

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