# BOULDER VALLEY THORACIC AND CARDIOVASCULAR SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730267949
- **Authorized official:** DR. MARK B DOUTHIT M.D. (PRESIDENT)
- **Authorized official phone:** (303) 652-8888

## Contact information

- **Practice address:** 6800 N 79TH ST, SUITE \# 203, LONGMONT, CO 80503-7042
- **Practice address phone:** (303) 652-8888
- **Practice address fax:** (303) 652-2720
- **Mailing address:** 6800 N 79TH ST, SUITE \# 203, LONGMONT, CO 80503-7042
- **Mailing address phone:** (303) 652-8888
- **Mailing address fax:** (303) 652-2720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 01/22/2008