# BOULDER VALLEY EAR NOSE & THROAT ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194948026
- **Authorized official:** SUN YOUNG MONKMAN (PRACTICE MANAGER)
- **Authorized official phone:** (303) 443-2771

## Contact information

- **Practice address:** 4745 ARAPAHOE AVE, SUITE 130, BOULDER, CO 80303-1080
- **Practice address phone:** (303) 443-2771
- **Practice address fax:** (303) 443-2784
- **Mailing address:** 4745 ARAPAHOE AVE, SUITE 130, BOULDER, CO 80303-1080
- **Mailing address phone:** (303) 443-2771
- **Mailing address fax:** (303) 443-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020