| Boulder Valley Gastroenterology Inc. | |
|
1551 Professional Ln Unit 290 Longmont CO 80501-6970 | |
| (303) 604-5000 | |
| Not Available |
| Full Name | Boulder Valley Gastroenterology Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1551 Professional Ln Unit 290, Longmont, Colorado |
| Authorized Official Name and Position | Daus Mahnke (MD) |
| Authorized Official Contact | 3036045000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Valley Gastroenterology Inc. 382 S Arthur Ave Louisville CO 80027-3094 Ph: () - | Boulder Valley Gastroenterology Inc. 1551 Professional Ln Unit 290 Longmont CO 80501-6970 Ph: (303) 604-5000 |
| NPI Number | 1184210312 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184210312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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