Roaring Fork Dermatology INC PC

NPI #1578746871 in Basalt, Colorado

Provider Information

NPI Number
1578746871
Entity Type
Organization
Organization Name
Roaring Fork Dermatology INC PC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Dec 10, 2007
Last Updated
Jun 19, 2008

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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