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BOULDER VALLEY GASTROENTEROLOGY INC. NPI 1720674955


NPI Information

NPI: 1720674955
Provider Name: BOULDER VALLEY GASTROENTEROLOGY INC.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 06D0514895

Address:
1755 48TH ST STE 100
BOULDER, CO
ZIP 80301
Phone: (303) 604-5000
Get Directions

BOULDER VALLEY GASTROENTEROLOGY INC. is a gastroenterology internal medicine in Boulder, CO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. BOULDER VALLEY GASTROENTEROLOGY INC. NPI is 1720674955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1755 48TH ST STE 100
BOULDER, CO
ZIP 80301-712
Phone: (303) 604-5000

The provider's authorized official is Daus Mahnke .
The authorized official title is Md and has the following contact phone number (303) 604-5000.

The CLIA number assigned to this NPI record is 06D0514895 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 12/11/2020.


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
1207RG0100XInternal MedicineGastroenterologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.