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Contact Information

COLORADO DERMATOLOGY GROUP, PLLC
3609 S TIMBERLINE RD UNIT A
FORT COLLINS, CO80525
 Phone: 888-884-6776
 Fax: 970-482-9948
 Website: http://coloradodermatologygroup.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for COLORADO DERMATOLOGY GROUP PLLC · (Female)

NPI Number 1144776238
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2016
Last updated 10/21/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # DR.0047867
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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