Organization · Type 2 NPI

Boulder Plastic Surgery Prof LLC

Specialist · Longmont, CO

NPI number 1114513009 Active

Practice location

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311

Call (720) 718-7000 Map

Mailing address

PO Box 7643
Loveland, CO 80537-0643

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114513009

Boulder Plastic Surgery Prof LLC's National Provider Identifier is 1114513009, issued on Dec 15, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Longmont, CO. The record was last updated on Dec 15, 2020.