Organization
BOULDER BIOLOGICS, LLC
Active
Organization
BOULDER BIOLOGICS, LLC
Active
Other names
Boulder Biologics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WELLS GLOWNEY MD (PRESIDENT)
(720) 550-6175
Entity
Organization
Contact information
Practice address
4745 ARAPAHOE AVE STE 300, BOULDER, CO 80303-1292
(720) 550-6175
Mailing address
4745 ARAPAHOE AVE STE 300, BOULDER, CO 80303-1292
(720) 550-6175
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
47816
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922264175
INDIVIDUAL NPI NUMBER FOR JASON GLOWNEY
CO
Enumeration date
07/18/2018
Last updated
05/28/2020
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