| NPI | 1447629886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN J MOTT CEO 303-569-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO DR.0053082) |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-12-17 |