is a Dermatology in Boulder, Colorado. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for is 1225295199. The last update date is .
's current location address is 1136 Alpine Ave, Boulder, Colorado. You can contact this provider via phone number 3034493500. The mailing address for is 1136 Alpine Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1136 Alpine Ave, Boulder, Colorado |
| Phone Number | 3034493500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225295199 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1136 Alpine Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803043405 |
| Phone Number | 3034493500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 42483 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98428721 | CO | -- |
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