Boulder Plastic Surgery Prof LLC

Specialist · Boulder, CO

Organization Active NPI

NPI number 1043251432

Practice location

1215 Spruce St Ste 201
Boulder, CO 80302-4839
Phone
(303) 443-2277
Fax
(303) 443-7124

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NPI record

NPI
1043251432
Entity type
Organization (Type 2)
Enumeration date
June 9, 2006
Last updated
December 2, 2025
Certified
December 2, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Authorized official

Name
Bethany Mason
Title
Insurance Billing Coordinator
Phone
(303) 558-5407

About Boulder Plastic Surgery Prof LLC

Boulder Plastic Surgery Prof LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1215 Spruce St Ste 201, Boulder, CO 80302-4839. The NPI number 1043251432 was assigned on June 9, 2006 and the record was last updated on December 2, 2025.

The authorized official for this organization is Bethany Mason, Insurance Billing Coordinator.

Frequently asked questions

What is the NPI number of Boulder Plastic Surgery Prof LLC?

The NPI number is 1043251432.

What is the phone number of Boulder Plastic Surgery Prof LLC?

The phone number listed for the practice location is (303) 443-2277.

Where is Boulder Plastic Surgery Prof LLC located?

1215 Spruce St Ste 201, Boulder, CO 80302-4839.

What is the taxonomy code for Boulder Plastic Surgery Prof LLC?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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