Boulder Endocrinology Pllc

LBN: Boulder Endocrinology Physicians
Boulder Endocrinology Pllc is an health care organization with primary practice located at 892 W South Boulder Rd , Louisville CO 80027-2453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Boulder Endocrinology Physicians can be contacted via phone (303) 586-5200, or through Mandagere, Kelly A. via phone (303) 586-5200.

Contact Information

Primary practice address
892 W South Boulder Rd Louisville CO 80027-2453
Phone: (303) 586-5200
Fax: (303) 586-5201
Website:
Map and Directions
Authorized official contact:
Name: Mandagere, Kelly A.
Phone: (303) 586-5200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 45001 Colorado

Profile Details

NPI number 1588817464
LBN Legal business name Boulder Endocrinology Physicians
DBA Doing business as Boulder Endocrinology Pllc
Authorized official Mandagere, Kelly A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2008
Last updated Jul 21st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588817464 NPPES
Colorado MEDICAID 81287895

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