Boulder Plastic Surgery Prof LLC

NPI #1033705926 in Boulder, Colorado

Provider Information

NPI Number: 1033705926
Entity Type: Organization
Organization Name: Boulder Plastic Surgery Prof LLC
Primary Specialty: Specialist
Enumeration Date: Dec 15, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 4747 ARAPAHOE AVE
City: Boulder
State: Colorado
ZIP Code: 80303-1131
Phone: (720) 854-7000

Authorized Official

Name: PAM GARCIA
Title: OFFICE CONTACT
Phone: (303) 443-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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