Salida Dermatology LLC

NPI #1184481434 in Gunnison, Colorado

Provider Information

NPI Number: 1184481434
Entity Type: Organization
Organization Name: Salida Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 4, 2024
Last Updated: Mar 4, 2024

Practice Location

Address: 234 N MAIN ST STE B
City: Gunnison
State: Colorado
ZIP Code: 81230-2438
Phone: (970) 641-1456

Authorized Official

Name: JEFFREY QUEEN
Title: AUTHORIZED OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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