Active NPI 1245448984 Individual Practitioner Male Practitioner

Dr. Dirk Dolbeare , MD

Orthopaedic Surgery • Boulder, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Dirk Dolbeare, MD is a certified Orthopaedic Surgery practicing in Boulder, CO. With approximately 22 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 2004, Dr. Dolbeare delivers high-quality medical care to the local community at 4740 PEARL PKWY STE 200.

Dr. Dolbeare is affiliated with Bouldercentre For Orthopedics Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4740 Pearl Pkwy Ste 200

Boulder, CO 803013080

Telephone 3034492730

Fax 3034495821

Associated Practice Facility / Clinic

🏢 Bouldercentre For Orthopedics Facility NPI 1952427049

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -0.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

20 Specialists

Practicing in Boulder, CO (505 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dolbeare (22 Years) 22 Yrs

Boulder Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	14,952	30	$3.03	$0.51
J1010 Injection, methylprednisolone acetate, 1 mg	3,610	43	$0.52	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	326	207	$207.88	$91.00
20610 Aspiration and/or injection of fluid from large joint	190	95	$210.57	$74.66
73562 X-ray of knee, 3 views	187	114	$97.39	$41.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	133	$286.80	$128.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	77	11	$3.90	$0.98
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	49	12	$188.52	$72.49
73030 X-ray of shoulder, minimum of 2 views	44	32	$83.50	$35.57
27447 Replacement of knee joint, both sides of knee	43	42	$3316.22	$1294.66
73502 X-ray of hip, 2-3 views	40	28	$118.00	$48.77
20985 Computer-assisted surgery for muscle and bone procedure	39	36	$414.44	$140.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$379.56	$166.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$267.50	$107.29
27130 Replacement of thigh bone and hip joint with prosthesis	22	20	$3094.05	$1267.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$136.62	$57.03
J1030 Injection, methylprednisolone acetate, 40 mg	20	14	$14.40	$6.34
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$98.57	$40.81
29880 Removal of both knee cartilages using an endoscope	11	11	$1424.84	$568.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	16,464	27	$6.00	$0.62
99213 Established patient office or other outpatient visit, typically 15 minutes	319	208	$178.27	$91.99
20610 Aspiration and/or injection of fluid from large joint	226	97	$216.11	$75.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	182	13	$4.01	$1.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	151	$253.47	$129.96
73562 X-ray of knee, 3 views	151	98	$94.73	$42.91
97140 Therapy procedure using manual technique, each 15 minutes	86	53	$74.19	$22.14
J1030 Injection, methylprednisolone acetate, 40 mg	85	56	$27.00	$7.65
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	78	19	$277.50	$73.04
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	51	38	$79.06	$25.31
27447 Replacement of knee joint, both sides of knee	46	46	$4408.95	$1319.62
73030 X-ray of shoulder, minimum of 2 views	41	30	$80.00	$35.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$372.73	$168.20
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	34	22	$80.71	$28.69
73502 X-ray of hip, 2-3 views	31	26	$80.00	$49.60
97530 Therapy procedure using functional activities	28	17	$86.04	$34.11
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$93.00	$42.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$109.21	$58.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$267.68	$114.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,232	16	$6.00	$1.79
97140 Therapy procedure using manual technique, each 15 minutes	856	323	$63.77	$23.45
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	382	215	$66.31	$26.28
99213 Established patient office or other outpatient visit, typically 15 minutes	298	200	$168.64	$92.43
20610 Aspiration and/or injection of fluid from large joint	149	86	$197.09	$75.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	141	14	$3.93	$1.15
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	141	80	$63.00	$31.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	96	$249.70	$129.61
97035 Application of ultrasound, each 15 minutes	88	58	$29.00	$11.17
97018 Application of hot wax bath	73	43	$25.00	$4.18
73562 X-ray of knee, 3 views	73	52	$96.00	$42.97
97530 Therapy procedure using functional activities	70	44	$66.00	$36.28
J1030 Injection, methylprednisolone acetate, 40 mg	59	43	$27.00	$6.37
97161 Evaluation of physical therapy, typically 20 minutes	51	51	$160.00	$104.17
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	48	15	$277.85	$75.32
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	34	24	$25.00	$9.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	30	$108.94	$58.55
73502 X-ray of hip, 2-3 views	34	29	$80.00	$50.24
73030 X-ray of shoulder, minimum of 2 views	33	26	$80.00	$36.06
27447 Replacement of knee joint, both sides of knee	31	29	$4884.72	$1304.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$253.40	$115.07
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$93.00	$42.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$393.67	$170.92
97164 Re-evaluation for physical therapy, typically 20 minutes	14	12	$100.00	$72.10
29881 Removal of knee cartilage using an endoscope	13	13	$2195.32	$559.08
73564 X-ray of knee, 4 or more views	12	12	$112.00	$49.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	10,584	18	$6.00	$2.18
97140 Therapy procedure using manual technique, each 15 minutes	436	191	$57.00	$23.72
99213 Established patient office or other outpatient visit, typically 15 minutes	346	225	$169.27	$94.40
20610 Aspiration and/or injection of fluid from large joint	300	128	$220.48	$79.46
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	220	45	$276.13	$75.67
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	159	109	$60.00	$27.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	142	17	$3.88	$1.25
73562 X-ray of knee, 3 views	116	76	$95.17	$42.80
J1030 Injection, methylprednisolone acetate, 40 mg	114	67	$27.00	$5.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	82	$260.33	$130.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	51	$109.56	$58.53
73502 X-ray of hip, 2-3 views	54	40	$78.89	$48.99
97035 Application of ultrasound, each 15 minutes	44	31	$29.00	$11.39
73030 X-ray of shoulder, minimum of 2 views	35	27	$80.00	$35.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$268.87	$112.86
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	32	24	$63.00	$35.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$374.95	$172.91
27447 Replacement of knee joint, both sides of knee	22	22	$6250.00	$1419.31
73564 X-ray of knee, 4 or more views	20	20	$112.00	$46.53
73560 X-ray of knee, 1-2 views	20	14	$75.05	$36.48
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$93.00	$42.30
97018 Application of hot wax bath	20	16	$25.00	$4.24
97161 Evaluation of physical therapy, typically 20 minutes	19	19	$160.00	$104.93
73630 X-ray of foot, minimum of 3 views	19	13	$81.00	$36.48
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$5060.82	$1291.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	629	162	$57.00	$24.84
99213 Established patient office or other outpatient visit, typically 15 minutes	415	260	$169.73	$76.94
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	211	115	$60.00	$29.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	194	18	$3.96	$1.46
20610 Aspiration and/or injection of fluid from large joint	188	103	$215.35	$75.84
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	117	32	$276.07	$79.98
J1030 Injection, methylprednisolone acetate, 40 mg	109	58	$27.00	$6.07
73562 X-ray of knee, 3 views	78	56	$96.00	$40.97
73502 X-ray of hip, 2-3 views	63	47	$80.00	$47.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	55	$110.00	$47.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$253.60	$111.13
73030 X-ray of shoulder, minimum of 2 views	36	30	$80.00	$34.59
97035 Application of ultrasound, each 15 minutes	34	22	$29.00	$11.44
97161 Evaluation of physical therapy, typically 20 minutes	26	26	$160.00	$89.07
73110 X-ray of wrist, minimum of 3 views	25	15	$97.00	$40.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$240.75	$112.68
27447 Replacement of knee joint, both sides of knee	19	18	$4929.97	$1541.74
97018 Application of hot wax bath	18	14	$25.00	$4.35
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	18	14	$63.00	$34.17
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	18	13	$25.00	$10.10
29827 Repair of shoulder rotator cuff using an endoscope	18	15	$2955.63	$1127.66
73080 X-ray of elbow, minimum of 3 views	15	11	$87.00	$32.26
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$424.33	$183.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$326.60	$170.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	251	$169.81	$75.28
20610 Aspiration and/or injection of fluid from large joint	195	81	$208.91	$71.54
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	139	28	$278.27	$78.62
J1030 Injection, methylprednisolone acetate, 40 mg	107	50	$27.00	$6.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	12	$3.94	$1.59
73562 X-ray of knee, 3 views	77	57	$96.00	$37.68
73030 X-ray of shoulder, minimum of 2 views	57	39	$80.00	$30.89
73502 X-ray of hip, 2-3 views	57	34	$80.00	$43.98
97140 Therapy procedure using manual technique, each 15 minutes	55	34	$57.00	$24.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	37	$110.00	$46.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$260.48	$110.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$234.16	$110.32
27447 Replacement of knee joint, both sides of knee	23	22	$4951.93	$1470.49
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	21	17	$60.00	$30.44
73564 X-ray of knee, 4 or more views	16	15	$112.00	$42.53
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$4278.92	$1407.60
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$3051.13	$1096.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	202	$166.18	$73.77
97140 Therapy procedure using manual technique, each 15 minutes	314	141	$57.00	$24.08
20610 Aspiration and/or injection of fluid from large joint	155	82	$198.83	$68.66
J1030 Injection, methylprednisolone acetate, 40 mg	133	54	$27.00	$6.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	14	$3.21	$1.82
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	109	74	$60.00	$28.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	65	$108.86	$43.58
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	72	19	$276.58	$83.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$234.71	$107.27
73502 X-ray of hip, 2-3 views	45	28	$80.00	$42.08
73030 X-ray of shoulder, minimum of 2 views	44	29	$81.82	$29.91
73562 X-ray of knee, 3 views	44	36	$96.00	$35.75
97035 Application of ultrasound, each 15 minutes	39	30	$29.00	$10.70
72170 X-ray of pelvis, 1-2 views	28	20	$75.00	$32.36
27447 Replacement of knee joint, both sides of knee	20	19	$3731.88	$1422.51
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	18	14	$63.00	$33.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$265.42	$109.48
29827 Repair of shoulder rotator cuff using an endoscope	13	11	$3286.76	$1087.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$2359.25	$182.13
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$4986.94	$1402.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97140 Therapy procedure using manual technique, each 15 minutes	594	188	$57.00	$24.99
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	341	146	$60.00	$30.08
99213 Established patient office or other outpatient visit, typically 15 minutes	310	173	$163.84	$72.76
20610 Aspiration and/or injection of fluid from large joint	159	81	$198.91	$67.35
J1030 Injection, methylprednisolone acetate, 40 mg	136	44	$27.00	$5.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	14	$2.99	$1.83
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	91	28	$275.00	$85.30
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	66	36	$63.00	$33.28
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	45	23	$25.00	$10.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$109.37	$43.96
97035 Application of ultrasound, each 15 minutes	39	21	$29.00	$10.30
73562 X-ray of knee, 3 views	38	29	$96.00	$36.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$257.49	$108.94
72170 X-ray of pelvis, 1-2 views	36	27	$75.00	$32.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$263.85	$105.64
97018 Application of hot wax bath	26	15	$25.00	$6.80
73030 X-ray of shoulder, minimum of 2 views	22	19	$80.00	$29.37
97161 Evaluation of physical therapy, typically 20 minutes	20	20	$160.00	$81.93
27447 Replacement of knee joint, both sides of knee	15	13	$4193.87	$1431.38
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$2452.14	$182.07
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$3398.00	$1084.56
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$93.00	$35.45
97162 Evaluation for physical therapy, typically 30 minutes	11	11	$160.00	$72.46

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CO 47523

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Bouldercentre For Orthopedics Pc

4740 Pearl Pkwy, Boulder, CO 803013080

Phone: 3034492730

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Courtney Whalen , OTR, L

Occupational Therapist

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Occupational Therapist Registered, L

Sara Kadlec , PA

Physician Assistant

NPI 1073898664

Physician Assistant

Dr. William Kramer , MD

Orthopaedic Surgery

NPI 1093978223

Doctor of Medicine (M.D.)

Dr. Aaron Shaver , DPT

Physical Therapist

NPI 1114579950

Doctor of Physical Therapy

Dr. Stephen Paul , MD

Orthopaedic Surgery

NPI 1114976354

Doctor of Medicine (M.D.)

Dr. James Rector , MD

Orthopaedic Surgery

NPI 1124076591

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address November 14, 2018

Registered at 4740 PEARL PKWY, STE 200, BOULDER, CO 803013080 (Tel: (303) 449-2730)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 4740 PEARL PKWY STE 200, BOULDER, CO 803013080 (Tel: 3034492730)

📍

Updated Business Mailing Address June 28, 2017

Registered at 933 ALPINE AVE, BOULDER, CO 803043305 (Tel: (303) 449-2730)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as DIRK DOLBEARE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Orthopaedic Surgery (License #47523 in CO)

✅

NPI Profile Active January 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2012

Registered at 933 ALPINE AVE, BOULDER, CO 803043305 (Tel: 3034492730)

📍

Updated Business Mailing Address January 16, 2012

Registered at 933 ALPINE AVE, BOULDER, CO 803043305 (Tel: 3034492730)

👤

Provider Name / Credentials Updated January 16, 2012

Recorded as DIRK DOLBEARE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2012

Orthopaedic Surgery (License #47523 in CO)

🟢

Initial NPI Registration & Enumeration May 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245448984

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2007

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4740 Pearl Pkwy, Ste 200

Boulder, CO 803013080

Phone: 3034492730

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.