Integrated Dermatology of Boulder, Pllc

NPI #1902226434 in Boulder, Colorado

Provider Information

NPI Number: 1902226434
Entity Type: Organization
Organization Name: Integrated Dermatology of Boulder, Pllc
Primary Specialty: Dermatology
Enumeration Date: Apr 23, 2014
Last Updated: Apr 23, 2014

Practice Location

Address: 2935 BASELINE ROAD
Address 2: SUITE 201
City: Boulder
State: Colorado
ZIP Code: 80303
Phone: (303) 444-3152

Authorized Official

Name: ADAM S PLOTKIN
Title: MANAGER
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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