Destination Dermatology LLC
NPI #1205368453 in Frisco, Colorado
Provider Information
- NPI Number
- 1205368453
- Entity Type
- Organization
- Organization Name
- Destination Dermatology LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 28, 2017
- Last Updated
- Mar 28, 2017
Practice Location
Authorized Official
- Name
- KELLY BALLOU, PA-C
- Title
- MANAGING MEMBER
- Phone
- (309) 287-1909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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