NPI | 1477039907 |
---|---|
Doing Business As | BOULDER BIOLOGICS, LLC |
Entity Type | Organization |
Authorized Contact | JASON WELLS GLOWNEY President 720-550-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: CO 47816) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2020-05-28 |