Boulder Surgical Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BOULDER SURGICAL SERVICES, LLC

Practice address

6339 E Speedway Blvd
Suite 201
Tucson, AZ 85710-1147

Phone

(520) 323-8732

Fax

(520) 547-1865

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris Gleason

Title

Ceo

Phone

(520) 323-8732

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1083892103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-323-8732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylan Bottrell
• Jacques Boubeka, BHT
• Irina Boucher
• Brock Cameron Boudreaux, DMD
• Stacey Bouffard, PH.D.
• Theresa Suzanne Bouldin, RD, CSG
• John E. Boulet, MD
• Patrick Bouley, P.T.
• Gouni Aicha Bouraima, PMHNP
• Jordan Michael Bourg, MD

• Ambulatory Surgical Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.