Organization
BOULDER VALLEY PULMONOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL BJERKE MD (PARTNER)
(303) 442-2150
Entity
Organization
Contact information
Practice address
1155 ALPINE AVE STE 150, BOULDER, CO 80304-3400
(303) 442-2150
(303) 442-3363
Mailing address
1155 ALPINE AVE STE 150, BOULDER, CO 80304-3400
(303) 442-2150
(303) 442-3363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13352
BCBS PRACTICE ID
CO
05
—
57476748
—
CO
Enumeration date
07/06/2006
Last updated
07/02/2013
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