Avanti Skin Center of Boulder

NPI #1790061562 in Boulder, Colorado

Provider Information

NPI Number: 1790061562
Entity Type: Organization
Organization Name: Avanti Skin Center of Boulder
Primary Specialty: Specialist
Enumeration Date: Oct 25, 2011
Last Updated: Oct 25, 2011

Practice Location

Address: 2595 CANYON BLVD
Address 2: SUITE 360
City: Boulder
State: Colorado
ZIP Code: 80302-6745
Phone: (303) 440-7546

Authorized Official

Name: DR. STEVEN SCHLOSSER, M.D,
Title: OWNER/MEDICAL DIRECTOR
Phone: (303) 440-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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