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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

NPI Number 1184973786
LBN Legal business name FRONT RANGE DERMATOLOGY ASSOCIATES
Authorized official AARON HOOVER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 06/30/2020 - About 6 years ago
Identifiers
CO License # 49733
CO Medicaid 45021023
CO Other COAAA3047 MEDICARE PTAN
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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