| NPI | 1790978393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MAGUIRE Office Manager 303-444-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 33197) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CO 33197) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |