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Contact Information

BECKER DERMATOLOGY
1122 ORANGE PL
BOULDER, CO80304-0733
 Phone: 303-506-6464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BECKER DERMATOLOGY

NPI Number 1770822249
LBN Legal business name BECKER DERMATOLOGY
Authorized official TODD BECKER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2013
Last updated 03/01/2013 - About 13 years ago
Identifiers
CO License # DR-51006
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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