| NPI | 1487544292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONOR VICKERS Owner 303-319-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2025-07-04 |
| Last Update Date | 2025-07-04 |