| NPI | 1679646582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN MOTT Owner 303-569-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-11-06 |