Peter Grotuss MD PC

NPI #1346384369 in Basalt, Colorado

Provider Information

NPI Number: 1346384369
Entity Type: Organization
Organization Name: Peter Grotuss MD PC
Primary Specialty: Dermatology
Enumeration Date: Feb 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 23262 TWO RIVERS RD
City: Basalt
State: Colorado
ZIP Code: 81621-9227
Phone: (970) 927-4731

Authorized Official

Name: DR. JULIAN RAMSEY MELLETTE, MD
Title: DIRECTOR
Phone: (970) 927-4731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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