Organization · Type 2 NPI

Boulder Plastic Surgery Prof LLC

Specialist · Boulder, CO

NPI number 1770179335 Active

Practice location

2525 4th St
Boulder, CO 80304-3966

Call (303) 443-3672 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 1770179335

Boulder Plastic Surgery Prof LLC's National Provider Identifier is 1770179335, issued on Dec 17, 2020. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boulder, CO. The record was last updated on Dec 17, 2020.