BOULDER VALLEY CENTER FOR DERMATOLOGY LLC is a specialist in Lafayette, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOULDER VALLEY CENTER FOR DERMATOLOGY LLC NPI is 1306927231. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1140 W SOUTH BOULDER RD
STE 202
LAFAYETTE, CO
ZIP 80026-854
Phone: (303) 604-1444
Fax: (303) 666-0911
The provider's authorized official is Tabatha Hoeben .
The authorized official title is Administrator and has the following contact phone number (303) 604-1444.
The CLIA number assigned to this NPI record is 06D2027780 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/22/2020.