Organization
BOULDER VALLEY ANESTHESIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LAYNE MD (PRESIDENT)
(303) 415-2532
Entity
Organization
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 415-7000
Mailing address
PO BOX 3206, INDIANAPOLIS, IN 46206-3206
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32750
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29820871
—
CO
Enumeration date
07/03/2006
Last updated
05/29/2024
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