Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpine Surgical LLC

Organization Surgery Physician · NPI 1396939203

Alpine Surgical LLC is a Surgery Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4743 Arapahoe Ave Ste 102
Boulder, CO 80303-1123
Phone: (303) 449-3642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 40751 (CO)

Record details

NPI number1396939203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Fox — Owner · (303) 449-3642
NPI enumeratedSeptember 4, 2007
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address4743 Arapahoe Ave, Suite 102, Boulder, CO 80303-1123

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