| NPI | 1306968797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G HUGHES President 719-488-8724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 22263) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CO 22263) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CO 22263) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-03-05 |