| NPI | 1225540032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M NEYMAN Owner 303-431-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |