| NPI | 1174595797 |
|---|---|
| Doing Business As | PIKES PEAK DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHARLES W RUGGLES Owner 719-633-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 19699) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-06-25 |