| NPI | 1184973786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON Z HOOVER Owner 970-673-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CO 49733) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-06-30 |