Boulder Plastic Surgery Prof Llc

Specialty details in registry · Longmont, CO

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At a glance

1950 Mountain View Ave, Longmont, CO 80501-3129

NPPES record updated Dec 15, 2020. Public records can lag behind changes at a practice.

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Practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Professional details: NPI, taxonomy & registry record

NPI1134715022

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 174400000X
Enumeration date: Dec 15, 2020
Record updated: Dec 15, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

174400000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1950 Mountain View Ave
Longmont, CO 80501-3129

Phone: (303) 651-5111

Mailing address

PO BOX 7643

LOVELAND, CO 805370643

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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