Boulder Plastic Surgery Prof LLC

NPI #1114513009 in Longmont, Colorado

Provider Information

NPI Number
1114513009
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
1750 E KEN PRATT BLVD
ZIP Code
80504-5311
Phone
(720) 718-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Specialist

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