Boulder Valley Asthma & Allergy Clinics, PC

NPI #1952522997 in Boulder, Colorado

Provider Information

NPI Number: 1952522997
Entity Type: Organization
Organization Name: Boulder Valley Asthma & Allergy Clinics, PC
Primary Specialty: Specialist
Enumeration Date: May 1, 2007
Last Updated: Jun 10, 2020

Practice Location

Address: 3950 BROADWAY ST
City: Boulder
State: Colorado
ZIP Code: 80304-1104
Phone: (303) 234-1067

Authorized Official

Name: MARK DAVID MENICH, MD
Title: PHYSICIAN
Phone: (303) 234-1067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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