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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

NPI # 1144776238
LBN Legal business name COLORADO DERMATOLOGY GROUP, PLLC
Authorized official JOSEPH LILLIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2016
Last updated 10/21/2020 - About 6 years ago
Identifiers
CO License # DR.0047867
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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