Organization
BOULDER INTRAOPERATIVE MONITORING
Active
Parent organization
PRONERVE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRONERVE
Authorized official
STEVEN SEVCIK (VP OF FINANCE)
(303) 339-1499
Entity
Organization
Contact information
Practice address
350 INTERLOCKEN BLVD, SUITE 360, BROOMFIELD, CO 80021-3477
(720) 407-2700
Mailing address
350 INTERLOCKEN BLVD, SUITE 360, BROOMFIELD, CO 80021-3477
(720) 407-2700
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/30/2007
Last updated
06/24/2008
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