Provider Demographics
NPI:1467845586
Name:ROCKY MOUNTAIN VETERINARY CARDIOLOGY
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN VETERINARY CARDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VETERINARY CARDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:303-443-4569
Mailing Address - Street 1:3640 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2526
Mailing Address - Country:US
Mailing Address - Phone:303-443-4569
Mailing Address - Fax:303-443-4568
Practice Address - Street 1:3640 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2526
Practice Address - Country:US
Practice Address - Phone:303-443-4569
Practice Address - Fax:303-443-4568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COVET.0009890174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty