NPI 1306927231 · live from the CMS NPI Registry
Boulder Valley Center For Dermatology LLC
Dermatology in Lafayette, CO. National Provider Identifier 1306927231, active.
NPI record
| NPI | 1306927231 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1140 W South Boulder Rd, Ste 202, Lafayette, CO 80026 |
| Practice phone | 303-604-1444 |
| Enumerated | October 18, 2006 |
| Last updated | May 13, 2024 |
| Authorized official | Tabatha Hoeben, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.