| NPI | 1477326163 |
|---|---|
| Doing Business As | VANGUARD SKIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | AMBER GUST-ALLEN Revenue Cycle Manager 719-465-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 208200000X Plastic Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-04-01 |