Boulder Valley Gastroenterology Inc.

NPI #1184210312 in Longmont, Colorado

Provider Information

NPI Number
1184210312
Entity Type
Organization
Organization Name
Boulder Valley Gastroenterology Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
BOULDER VALLEY GASTROENTEROLOGY INC.
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Dec 11, 2020
Last Updated
Dec 11, 2020

Practice Location

Address
1551 PROFESSIONAL LN UNIT 290
ZIP Code
80501-6970
Phone
(303) 604-5000

Authorized Official

Name
DAUS MAHNKE
Title
MD
Phone
(303) 604-5000

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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