| NPI | 1588817464 |
|---|---|
| Doing Business As | BOULDER ENDOCRINOLOGY PLLC |
| Entity Type | Organization |
| Authorized Contact | KELLY A. MANDAGERE M.D. 303-586-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CO 45001) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2010-07-21 |