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1427297431
DERMATOLOGY CLINIC, P.C.
COLORADO SPRINGS, CO
NPI
1427297431
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Entity Type
Organization
Authorized Contact
KEN WATERHOUSE
Third Party Administrator
719-484-8842
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2009-02-13
Last Update Date
2009-05-21
Business Address
DERMATOLOGY CLINIC, P.C.
3245 INTERNATIONAL CIR SUITE 200
COLORADO SPRINGS, CO 80910-3152
Phone number: 719-484-8840
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Mailing Address
DERMATOLOGY CLINIC, P.C.
3245 INTERNATIONAL CIR SUITE 200
COLORADO SPRINGS, CO 80910-3152
Phone number: 719-484-8840
Copy
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