| NPI | 1093228314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G LEVINE Owner 303-919-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-12-22 |