Advanced Alpine Dermatology Prof LLC

NPI #1225295199 in Boulder, Colorado

Provider Information

NPI Number: 1225295199
Entity Type: Organization
Organization Name: Advanced Alpine Dermatology Prof LLC
Primary Specialty: Dermatology
Enumeration Date: May 19, 2008
Last Updated: May 19, 2008

Practice Location

Address: 1136 ALPINE AVE
Address 2: SUITE 310
City: Boulder
State: Colorado
ZIP Code: 80304-3405
Phone: (303) 449-3500

Authorized Official

Name: PETER BACHMANN, M.D.
Title: OWNER
Phone: (303) 449-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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