| NPI | 1144697673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA DENHAM Patient COO Rdinator 303-683-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0051289) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: CO DR.0051289) |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: CO DR.0051289) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CO DR.0051289) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |