| NPI | 1053449306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN B ALLEN President 303-442-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 43816) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO 43816) | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-11-14 |