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AVANTI SKIN CENTER OF BOULDER NPI 1790061562


NPI Information

NPI: 1790061562
Provider Name: AVANTI SKIN CENTER OF BOULDER

Other Name: NEXT PHASE VENTURES

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2595 CANYON BLVD
SUITE 360
BOULDER, CO
ZIP 80302
Phone: (303) 440-7546
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AVANTI SKIN CENTER OF BOULDER is a specialist in Boulder, 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. AVANTI SKIN CENTER OF BOULDER NPI is 1790061562. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Next Phase Ventures.

The provider's business location address is:

2595 CANYON BLVD
SUITE 360
BOULDER, CO
ZIP 80302-745
Phone: (303) 440-7546
Fax: (303) 440-5364

The provider's authorized official is Steven Schlosser .
The authorized official title is Owner/medical Director and has the following contact phone number (303) 440-7546.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 10/25/2011.


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
1174400000XSpecialist33336COLORADOYes

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: 4/28/2024

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