NPI 1063018000
Boulder Valley Center for Dermatology LLC
Practice location
- Address
- 3000 Center Green Dr STE 260, Boulder, CO 80301-2319
- Phone
- (303) 604-1444
- Fax
- (303) 666-0911
- Mailing address
- PO Box 272308, Fort Collins, CO 80527-2308
Authorised official
- Name
- Sadie Nealy
- Title
- Assistant Billing Manager
- Phone
- (970) 430-4602
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1063018000
- Entity type
- Organization
- NPI issued
- 7 Dec 2020
- Record last updated
- 13 May 2024
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.