DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC

LONGMONT, CO
NPI1962164269
Entity TypeOrganization
Authorized ContactJENNIFER MICHELLE DIVINE
Owner
970-286-2668
Organization Subpart ?Yes
Primary Taxonomy207N00000X Dermatology
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
1715 IRON HORSE DR STE 104
LONGMONT, CO 80501-9756
Phone number: 970-286-2668
Mailing Address
DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
1260 DOCTORS LN STE A
FORT COLLINS, CO 80524-4072
Phone number: 970-286-2668
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