| NPI | 1790145183 |
|---|---|
| Doing Business As | BOULDER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ADAM S PLOTKIN Signor 561-314-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2019-01-14 |