NPI | 1427569243 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES DANIEL JENSEN Authorized Official 720-686-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2017-10-19 |
Last Update Date | 2017-11-22 |