Kallgren Dermatology

NPI #1275953689 in Boulder, Colorado

Provider Information

NPI Number: 1275953689
Entity Type: Organization
Organization Name: Kallgren Dermatology
Primary Specialty: Dermatology
Enumeration Date: Apr 24, 2014
Last Updated: Apr 24, 2014

Practice Location

Address: 3434 47TH STREET
Address 2: SUITE 200
City: Boulder
State: Colorado
ZIP Code: 80301
Phone: (303) 444-8100

Authorized Official

Name: MS. SUSAN LYNN RANCIS, PA-C
Title: PA-C
Phone: (303) 444-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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