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BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY NPI 1194071605


NPI Information

NPI: 1194071605
Provider Name: BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY

Other Name: BOULDER GYNECOLOGY

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
4800 RIVERBEND RD
SUITE 200
BOULDER, CO
ZIP 80301
Phone: (720) 382-2621
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BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY is a gynecology obstetrics gynecology in Boulder, CO. BOULDER GYNECOLOGY & MINIMALLY INVASIVE SURGERY NPI is 1194071605. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Boulder Gynecology.

The provider's business location address is:

4800 RIVERBEND RD
SUITE 200
BOULDER, CO
ZIP 80301-636
Phone: (720) 382-2621
Fax: (720) 382-2625

The provider's authorized official is Lisa Lepine .
The authorized official title is President/owner and has the following contact phone number (720) 382-2621.

The enumeration date for this NPI number is 8/2/2012 and was last updated on 8/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology43874COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1802492OTHERCOLORADOMEDICARE ID - TYPE UNSPECIFIED
2G30504MEDICARE UPINCOLORADO
348574279MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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