Boulder Management Services Organization

NPI #1316000169 in Boulder, Colorado

Provider Information

NPI Number: 1316000169
Entity Type: Organization
Organization Name: Boulder Management Services Organization
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1155 ALPINE
Address 2: SUITE 230
City: Boulder
State: Colorado
ZIP Code: 80304
Phone: (303) 443-2010

Authorized Official

Name: DR. DAVID O THAYER, MD
Title: PHYSICIAN OWNER
Phone: (303) 443-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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