Boulder Plastic Surgery Prof LLC

Specialist · Boulder, CO

Organization Active NPI

NPI number 1770179335

Practice location

2525 4TH St
Boulder, CO 80304-3966
Phone
(303) 443-3672

Open in Google Maps

NPI record

NPI
1770179335
Entity type
Organization (Type 2)
Enumeration date
December 17, 2020
Last updated
December 17, 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 2525 4TH St, Boulder, CO 80304-3966. The NPI number 1770179335 was assigned on December 17, 2020 and the record was last updated on December 17, 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 1770179335.

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

The phone number listed for the practice location is (303) 443-3672.

Where is Boulder Plastic Surgery Prof LLC located?

2525 4TH St, Boulder, CO 80304-3966.

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.

Other Specialist providers in Boulder

All Specialist providers in Boulder, CO →