Boulder Management Services Organization in Broomfield - Obstetrics & Gynecology
Boulder Management Services Organization - NPI 1316000169
Boulder Management Services Organization is a Obstetrics & Gynecology in Broomfield, Colorado. Boulder Management Services Organization practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Boulder Management Services Organization is 1316000169. The last update date is 2020-08-22.
Boulder Management Services Organization's current location address is Po Box 802, Broomfield, Colorado. You can contact this provider via phone number 3034651303 and fax number 3034042943. The mailing address for Boulder Management Services Organization is Po Box 802, Broomfield, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulder Management Services Organization |
|---|---|
| Address | Po Box 802, Broomfield, Colorado |
| Phone Number | 3034651303 |
| Fax Number | 3034042943 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Thayer O David |
| Credentials | MD |
| Telephone Number | 3034432010 |
NPI Number Detail
| NPI Number | 1316000169 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 802 |
|---|---|
| City | Broomfield |
| State | Colorado (CO) |
| Post Code | 800380802 |
| Phone Number | 3034651303 |
| Fax Number | 3034042943 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 27055 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44936 | CO | BCBS | |
| 21206775 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Boulder Management Services Organization?
The Boulder Management Services Organization has been issued the NPI (National Provider Identifier) 1316000169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Boulder Management Services Organization is physically located?
The Boulder Management Services Organization is physically situated at the following address: Po Box 802, Broomfield, CO, 800380802.
What is Boulder Management Services Organization's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Boulder Management Services Organization is Obstetrics & Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316000169 to Boulder Management Services Organization?
The Centers for Medicare & Medicaid Services originally issued the 1316000169 to Boulder Management Services Organization on 2006-12-19.
As of what date were the details pertaining to Boulder Management Services Organization last refreshed?
The information related to the Boulder Management Services Organization, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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