ROARING FORK DERMATOLOGY INC PC

BASALT, CO
NPI1578746871
Entity TypeOrganization
Authorized ContactJULIAN RAMSEY MELLETTE
Owner
970-927-4731
Organization Subpart ?No
Primary Taxonomy261QH0100X Clinic/Center, Health Services
Enumeration Date2007-12-10
Last Update Date2008-06-19
Business Address
ROARING FORK DERMATOLOGY INC PC
23262 TWO RIVERS RD
BASALT, CO 81621-9227
Phone number: 970-927-4731
Mailing Address
ROARING FORK DERMATOLOGY INC PC
PO BOX 1489
BASALT, CO 81621-1489
Phone number: 970-927-4731
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