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BOULDER PLASTIC SURGERY PROF LLC
NPI 1497341754
Specialist in Boulder, CO

Active since December 21, 2020
1100 BALSAM AVE, BOULDER, CO 80304(303) 440-2273 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boulder Plastic Surgery Prof Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULDER PLASTIC SURGERY PROF LLC (NPI 1497341754) is a healthcare organization registered as a specialist in Boulder, Colorado and active in the NPI registry since December 2020. The organization lists Pam Garcia, Office Contact, as its authorized official.

NPPES Registry Identity

NPI1497341754
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOULDER PLASTIC SURGERY PROF LLC
Location Address1100 BALSAM AVEBoulder, CO 80304-3404
Mailing AddressPo Box 7643Loveland, CO 80537-0643 · (970) 663-2742 · Fax (970) 342-2093
Phone(303) 440-2273
Organization SubpartNo
Authorized OfficialPam GarciaOffice Contact · (303) 443-2277
Enumeration DateDecember 21, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1497341754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
1100 BALSAM AVE, Boulder, CO 80304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN E MEYER M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2373
KEVIN W HANLEY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2273
DHORI MEYER KNUD-HANSEN OTR
Occupational Therapist
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2100
LAUGHLIN B. MCCOLLESTER
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2037
RICHARD GILDERSLEEVE MD
Anesthesiology
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2092
MARTHA A CABEEN
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2037
LAIRD STEPHEN WOLFE
Emergency Medicine
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2037
PAUL EDWARD YOUNG
Physician Assistant
1100 BALSAM AVE
BOULDER, CO 80304
Boulder County (303) 440-2037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulder Plastic Surgery Prof LLC's NPI number?

The NPI number for Boulder Plastic Surgery Prof LLC is 1497341754. It was assigned to this organization in the NPPES registry on December 21, 2020.

Where is Boulder Plastic Surgery Prof LLC located?

Boulder Plastic Surgery Prof LLC is located at 1100 Balsam Ave, Boulder, CO 80304. The listed phone number is (303) 440-2273.

What is Boulder Plastic Surgery Prof LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Boulder Plastic Surgery Prof LLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.