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Contact Information

FRONT RANGE DERMATOLOGY ASSOCIATES
6801 WEST 20TH
SUITE 208
GREELEY, CO80634
 Phone: 970-673-1155
 Fax: 970-673-4747
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for FRONT RANGE DERMATOLOGY ASSOCIATES · (Female)

NPI Number 1184973786
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2012
Last updated 06/30/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 49733
  • CO Medicaid 45021023
  • CO Other COAAA3047 MEDICARE PTAN
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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