Bryan M Mahan
Cardiothoracic Vascular Surgeon
4743 Arapahoe Ave Ste 201
Boulder
, Colorado 80303-1128
Bryan M Mahan
Cardiothoracic Vascular Surgeon
4743 Arapahoe Ave Ste 201
Boulder
, Colorado 80303-1128
(303) 442-1073
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Bryan M Mahan
- 5450 Western Ave Ste B
- Boulder, CO
- Zip : 80301-2709
- Fax : (303) 442-1073
- Phone : (303) 442-2395
Second Address
- Bryan M Mahan
- 4743 Arapahoe Ave Ste 201
- Boulder, CO
- Zip : 80303-1128
- Fax : (303) 442-1073
- Phone : (303) 442-2395
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 37687 | CO |
National Provider Identifier
| NPI | 1134159023 |
|---|---|
| Provider Name | Bryan M Mahan |
| First Address | Boulder, CO 80301-2709 |
| Second Address | Boulder, CO 80303-1128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 24/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E37514 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.