NPI | 1548592363 |
---|---|
Doing Business As | COLORADO DERMATOLOGY INSTITUTE |
Entity Type | Organization |
Authorized Contact | REAGAN ANDERSON President 719-246-4582 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CO 48132) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2010-06-03 |