| NPI | 1528753787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE JOSEPH OVERMAN Owner/Employee 720-797-9184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |