MARY DAN EADES MD NPI 1164790994

NPI Information

NPI: 1164790994
Provider Name: MARY DAN EADES, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
6525 GUNPARK DR # 150-504
BOULDER, CO
ZIP 80301
Phone: (720) 340-6306
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Mary Dan Eades, MD is a general practice in Boulder, CO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mary Dan Eades, MD NPI is 1164790994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6525 GUNPARK DR # 150-504
BOULDER, CO
ZIP 80301-346
Phone: (720) 340-6306
Fax: (805) 565-3142

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		36065	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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