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BOULDER PLASTIC SURGERY PROF LLC
NPI 1770179335
Specialist in Boulder, CO

Active since December 17, 2020
2525 4TH ST, BOULDER, CO 80304(303) 443-3672 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1770179335) 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

NPI1770179335
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOULDER PLASTIC SURGERY PROF LLC
Location Address2525 4TH STBoulder, CO 80304-3966
Mailing AddressPo Box 7643Loveland, CO 80537-0643 · (970) 663-2742 · Fax (970) 342-2093
Phone(303) 443-3672
Organization SubpartNo
Authorized OfficialPam GarciaOffice Contact · (303) 443-2277
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1770179335 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.
2525 4TH ST, 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 5

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

MARGARET CLAIRE HAMPTON L.AC., DIPL.OM
Acupuncturist
2525 4TH ST, SUITE 205
BOULDER, CO 80304
Boulder County (303) 499-9224
D BRUCE BROWN MD PC
Anesthesiology
2525 4TH ST, SUITE 206
BOULDER, CO 80304
Boulder County (303) 443-3672
PORTERCARE ADVENTIST HEALTH SYSTEM
General Acute Care Hospital
2525 4TH ST
BOULDER, CO 80304
Boulder County (303) 715-7000
HANS R KUISLE MD
Specialist
2525 4TH ST, STE 202
BOULDER, CO 80304
Boulder County (800) 462-0975
EMPOWERED WELLNESS, LLC
Acupuncturist
2525 4TH ST
BOULDER, CO 80304
Boulder County (303) 499-9224

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 1770179335. It was assigned to this organization in the NPPES registry on December 17, 2020.

Where is Boulder Plastic Surgery Prof LLC located?

Boulder Plastic Surgery Prof LLC is located at 2525 4th St, Boulder, CO 80304. The listed phone number is (303) 443-3672.

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 17, 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.