| NPI | 1518105253 |
|---|---|
| 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 (Licence: CO 47200) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO 47200) |
| 207ND0900X Dermatology Dermatopathology (Licence: CO 53411) | |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: CO 47200) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CO 47200) | |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CO 53492) | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CO 53492) | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CO 53492) | |
| 208200000X Plastic Surgery (Licence: CO 37325) | |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: CO 37325) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2024-04-01 |