| NPI | 1801901517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B TURNER Treasurer 719-471-1763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-05-03 |