| NPI | 1932479961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY GREENE Managing Member 303-246-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CO 46029) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-03-28 |