Azeal Dermatology Institute, LLC

NPI #1003209248 in Boulder, Colorado

Provider Information

NPI Number: 1003209248
Entity Type: Organization
Organization Name: Azeal Dermatology Institute, LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 12, 2015
Last Updated: Sep 15, 2015

Practice Location

Address: 5365 SPINE RD
Address 2: SUITE C
City: Boulder
State: Colorado
ZIP Code: 80301-3324
Phone: (303) 530-9325

Authorized Official

Name: STACEY PILKINGTON, D.O.
Title: OWNER
Phone: (303) 530-9325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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