| NPI | 1780019158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYLA FRANCIS Sole Member 720-352-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO dr.0052798) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2014-02-14 |