Organization
BOULDER VALLEY CENTER FOR DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TABATHA HOEBEN (ADMINISTRATOR)
(303) 604-1444
Entity
Organization
Contact information
Practice address
1140 W SOUTH BOULDER RD, STE 202, LAFAYETTE, CO 80026-2854
(303) 604-1444
(303) 666-0911
Mailing address
1140 W SOUTH BOULDER RD, STE 202, LAFAYETTE, CO 80026-2854
(303) 604-1444
(303) 666-0911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
05/13/2024
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