| NPI | 1457792616 |
|---|---|
| Doing Business As | SKIN MD DERMATOLOGY AND SKIN ENHANCEMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JANICE MCFADDEN Practice Manager 719-228-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 46621) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-12-28 |