Organization · Type 2 NPI

Avanti Skin Center of Boulder

Specialist · Boulder, CO

NPI number 1790061562 Active

Practice location

2595 Canyon Blvd, Suite 360
Boulder, CO 80302-6745

Call (303) 440-7546 Map

Fax (303) 440-5364

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X33336 (CO)

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 1790061562

Avanti Skin Center of Boulder's National Provider Identifier is 1790061562, issued on Oct 25, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boulder, CO. The record was last updated on Oct 25, 2011.