# BOULDER VALLEY GASTROENTEROLOGY INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER VALLEY GASTROENTEROLOGY INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164269726
- **Legal business name:** BOULDER VALLEY GASTROENTEROLOGY INC.
- **Authorized official:** DAUS MAHNKE (MD)
- **Authorized official phone:** (720) 932-7714

## Contact information

- **Practice address:** 1830 N FRANKLIN ST STE 210, DENVER, CO 80218-1128
- **Practice address phone:** (303) 604-5000
- **Mailing address:** 382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2024
- **Last updated:** 07/11/2024