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

Boulder Plastic Surgery Prof LLC

Organization Specialist · NPI 1770179335

Boulder Plastic Surgery Prof LLC is a Specialist in Boulder, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2525 4th St
Boulder, CO 80304-3966
Phone: (303) 443-3672
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1770179335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Garcia — Office Contact · (303) 443-2277
NPI enumeratedDecember 17, 2020
Last updated in NPPESDecember 17, 2020
Certification dateDecember 15, 2020
Mailing addressPo Box 7643, Loveland, CO 80537-0643

Other providers in Boulder