OrganizationActive
Boulder Valley Center for Dermatology LLC
NPI 1063018000 · Dermatology Physician · Boulder, CO
Provider details
- NPI number
- 1063018000
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sadie Nealy, Assistant Billing Manager(970) 430-4602
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3000 Center Green Dr Ste 260
Boulder, CO 80301-2319
Phone: (303) 604-1444
Fax: (303) 666-0911
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 272308
Fort Collins, CO 80527-2308
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2024-05-13
- Certified
- 2023-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.