NPI 1043251432

Boulder Plastic Surgery Prof LLC

Organisation Specialist Boulder, CO

Practice location

Address: 1215 Spruce St STE 201, Boulder, CO 80302-4839
Phone: (303) 443-2277
Fax: (303) 443-7124

Authorised official

Name: Bethany Mason
Title: Insurance Billing Coordinator
Phone: (303) 558-5407

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1043251432
Entity type: Organization
NPI issued: 9 Jun 2006
Record last updated: 2 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.