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Richard D. Bruess, OD

Optometrist in Boulder, CO. Individual provider (NPI-1).

NPI number1376539734
StatusActive
Last updated in NPPESDec 18, 2008

Details

NPI
1376539734
Entity type
Individual (NPI-1)
Name
Richard D. Bruess
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 21, 2005
Last updated
Dec 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1549COYes

Practice location

6545 Gunpark Drive
Ste 250
Boulder, CO 80301-3350

Phone 303-530-1973 · Fax 303-530-1973

Mailing address

6545 Gunpark Drive
Ste 250
Boulder,, CO 80301-3350

Phone 303-530-1973 · Fax 303-530-1973

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