Boulder Plastic Surgery Prof LLC

NPI #1043251432 in Boulder, Colorado

Provider Information

NPI Number: 1043251432
Entity Type: Organization
Organization Name: Boulder Plastic Surgery Prof LLC
Primary Specialty: Specialist
Enumeration Date: Jun 9, 2006
Last Updated: Dec 2, 2025

Practice Location

Address: 1215 SPRUCE ST STE 201
City: Boulder
State: Colorado
ZIP Code: 80302-4839
Phone: (303) 443-2277

Authorized Official

Name: BETHANY MASON
Title: INSURANCE BILLING COORDINATOR
Phone: (303) 558-5407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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