Organization
BOULDER VALLEY CENTER FOR DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE NEALY (ASSISTANT BILLING MANAGER)
(970) 430-4602
Entity
Organization
Contact information
Practice address
3000 CENTER GREEN DR STE 260, BOULDER, CO 80301-2319
(303) 604-1444
(303) 666-0911
Mailing address
PO BOX 272308, FORT COLLINS, CO 80527-2308
(303) 604-1444
(970) 484-2251
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
05/13/2024
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