Boulder Valley Center For Dermatology Llc

NPI 1306927231 - Specialist - 174400000X

NPI Details
NPI 1306927231
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TABATHA TABATHA
Position ADMINISTRATOR
Phone (303) 604-1444
Fax (303) 666-0911
Practice Location
1140 W SOUTH BOULDER RD
STE 202
LAFAYETTE CO, 80026-2854, US
Phone (303) 604-1444
Fax (303) 666-0911
Business Location
1140 W SOUTH BOULDER RD
STE 202
LAFAYETTE CO, 80026-2854, US
Phone (303) 604-1444
Fax (303) 666-0911
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Boulder Valley Center For Dermatology Llc NPI is 1306927231, taxonomy code is 174400000X Boulder Valley Center For Dermatology Llc physically located at 1140 W South Boulder Rd, Lafayette CO, 80026-2854. NPI Number 1033115704 has the healthcare provider type.

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1306927231 NPI number is provided on an as is basis without warranty of any kind. 1306927231 is maintained by the National Plan & Provider Enumeration System. The contents of Boulder Valley Center For Dermatology Llc are for informational purposes only.