Integrated Dermatology of Denver, Pllc

NPI #1336519248 in Denver, North Carolina

Provider Information

NPI Number: 1336519248
Entity Type: Organization
Organization Name: Integrated Dermatology of Denver, Pllc
Primary Specialty: Dermatology
Enumeration Date: Oct 5, 2015
Last Updated: Oct 5, 2015

Practice Location

Address: 7476 WATERSIDE LOOP RD
Address 2: SUITE 600
City: Denver
State: North Carolina
ZIP Code: 28037-7679
Phone: (704) 822-5433

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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