Dermatology Specialists Of Boulder, Pc

NPI 1053449306 - Dermatology - 207NS0135X

NPI Details
NPI 1053449306
Enumeration Date 03/01/2007
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHAWN B SHAWN
Position PRESIDENT
Phone (303) 442-6647
Fax
Practice Location
2880 FOLSOM ST
SUITE #200
BOULDER CO, 80304-3739, US
Phone (303) 442-6647
Fax
Business Location
2880 FOLSOM ST
SUITE #200
BOULDER CO, 80304-3739, US
Phone (303) 442-6647
Fax (303) 442-2696
Toxanomy
Taxonomy Code 207NS0135X
License State
License Number
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According to our database, Dermatology Specialists Of Boulder, Pc NPI is 1053449306, taxonomy code is 207NS0135X Dermatology Specialists Of Boulder, Pc physically located at 2880 Folsom St, Boulder CO, 80304-3739. NPI Number 1033115704 has the healthcare provider type.

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1053449306 NPI number is provided on an as is basis without warranty of any kind. 1053449306 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Specialists Of Boulder, Pc are for informational purposes only.