Boulder Plastic Surgery Prof LLC

Specialist · Boulder, CO

Organization Active NPI

NPI number 1497341754

Practice location

1100 Balsam Ave
Boulder, CO 80304-3404
Phone
(303) 440-2273

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NPI record

NPI
1497341754
Entity type
Organization (Type 2)
Enumeration date
December 21, 2020
Last updated
December 21, 2020
Certified
December 15, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Mailing address

PO Box 7643
Loveland, CO 80537-0643
Phone
(970) 663-2742
Fax
(970) 342-2093

Authorized official

Name
Pam Garcia
Title
Office Contact
Phone
(303) 443-2277

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 1100 Balsam Ave, Boulder, CO 80304-3404. The NPI number 1497341754 was assigned on December 21, 2020 and the record was last updated on December 21, 2020.

The authorized official for this organization is Pam Garcia, Office Contact.

Frequently asked questions

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

The NPI number is 1497341754.

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

The phone number listed for the practice location is (303) 440-2273.

Where is Boulder Plastic Surgery Prof LLC located?

1100 Balsam Ave, Boulder, CO 80304-3404.

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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