Bro - Boulder Llc

LBN: Bro - Boulder Llc
Bro - Boulder Llc is an health care organization with primary practice located at 5420 Arapahoe Ave Ste A , Boulder CO 80303-1250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Bro - Boulder Llc can be contacted via phone (720) 463-0567, or through Mazzola, Timothy J via phone (720) 463-0567.

Contact Information

Primary practice address
5420 Arapahoe Ave Ste A Boulder CO 80303-1250
Phone: (720) 463-0567
Fax: (303) 494-5371
Website:
Map and Directions
Authorized official contact:
Name: Mazzola, Timothy J Doctor of Medicine (MD)
Phone: (720) 463-0567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1194409441
LBN Legal business name Bro - Boulder Llc
DBA Doing business as
Authorized official Mazzola, Timothy J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 14th, 2023
Last updated Jun 14th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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