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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOULDER PLASTIC SURGERY PROF LLC

Active Organization

BOULDER PLASTIC SURGERY PROF LLC is a Specialist organization located in LONGMONT, Colorado. NPI 1114513009 is currently active in the NPPES registry. Verify at CMS.

Specialist · LONGMONT, CO

Registration Details

NPI Number
1114513009
Provider Type
Organization
NPI Issued
Dec 15, 2020 (5.7018050116455 yrs)
Last Updated
Dec 15, 2020

Practice Information

Address
1750 E KEN PRATT BLVD
LONGMONT, CO, 805045311
Browse CO providers · Browse ZIP 80504
Phone
7207187000
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.