| NPI | 1497520308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JETTE HOOPER Owner 720-915-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-05-03 |