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1619904943
FORT COLLINS SKIN CLINIC, P.C.
FORT COLLINS, CO
NPI
1619904943
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Entity Type
Organization
Authorized Contact
BRAD ROBIN BAACK
M.D.
970-484-6303
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CO 39315)
Enumeration Date
2006-06-26
Last Update Date
2009-09-04
Business Address
FORT COLLINS SKIN CLINIC, P.C.
1120 E ELIZABETH ST SUITE G-2
FORT COLLINS, CO 80524-4044
Phone number: 970-484-6303
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Mailing Address
FORT COLLINS SKIN CLINIC, P.C.
1120 E ELIZABETH ST SUITE G-2
FORT COLLINS, CO 80524-4044
Phone number: 970-484-6303
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