| NPI | 1386888428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIDA LOUISE BURROW Owner 970-242-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CO 26621) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |