| NPI | 1003209248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY PILKINGTON Owner 303-530-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-09-15 |