Organization
BOULDER VALLEY GASTROENTEROLOGY INC.
Active
Parent organization
BOULDER VALLEY GASTROENTEROLOGY INC.
Other names
Gastroenterology of the Rockies
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOULDER VALLEY GASTROENTEROLOGY INC.
Authorized official
DAUS MAHNKE (MD)
(303) 604-5000
Entity
Organization
Contact information
Practice address
13952 DENVER WEST PKWY STE 100, LAKEWOOD, CO 80401-3141
(303) 604-5000
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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