| NPI | 1790053213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN L URQUHART Physician Owner 970-926-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 38262) |
| 207ND0900X Dermatology Dermatopathology (Licence: CO 38262) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2018-01-23 |