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Contact Information

BOULDER VALLEY PLASTIC SURGERY INC.
2575 PEARL ST.
SUITE 300
BOULDER, CO80302
 Phone: 303-449-6666
 Fax: 303-449-7023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BOULDER VALLEY PLASTIC SURGERY INC.

NPI Number 1730261462
LBN Legal business name BOULDER VALLEY PLASTIC SURGERY INC.
Authorized official JEFFREY SWAIL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 07/22/2014 - About 12 years ago
Identifiers
CO License # 34276
CO Medicaid 01342765
CO Other SW88401 B/C AND B/S PROVIDER ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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