# BOULDER VALLEY GASTROENTEROLOGY INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOULDER VALLEY GASTROENTEROLOGY INC.
- **Other names:** GASTROENTEROLOGY OF THE ROCKIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720674955
- **Legal business name:** BOULDER VALLEY GASTROENTEROLOGY INC.
- **Authorized official:** DAUS MAHNKE (MD)
- **Authorized official phone:** (303) 604-5000

## Contact information

- **Practice address:** 1755 48TH ST STE 100, BOULDER, CO 80301-2712
- **Practice address phone:** (303) 604-5000
- **Mailing address:** 382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
- **Mailing address phone:** (303) 604-5000

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 12/11/2020