Provider Demographics
NPI:1922184191
Name:BOUQUET, JEAN MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:MICHAEL
Last Name:BOUQUET
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Gender:M
Credentials:DO
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Mailing Address - Street 1:12919 STROH RANCH CT
Mailing Address - Street 2:UNIT G
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7707
Mailing Address - Country:US
Mailing Address - Phone:303-841-9219
Mailing Address - Fax:303-841-9240
Practice Address - Street 1:12919 STROH RANCH CT
Practice Address - Street 2:UNIT G
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7707
Practice Address - Country:US
Practice Address - Phone:303-841-9219
Practice Address - Fax:303-841-9240
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2009-10-22
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Provider Licenses
StateLicense IDTaxonomies
COCO35599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine