Dermatology Electronic Consultants, Professional LLC

NPI #1912262338 in Elizabeth, Colorado

Provider Information

NPI Number: 1912262338
Entity Type: Organization
Organization Name: Dermatology Electronic Consultants, Professional LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 11, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 240 ELIZABETH ST
Address 2: SUITE A-1, #15
City: Elizabeth
State: Colorado
ZIP Code: 80107-7537
Phone: (319) 400-7260

Authorized Official

Name: DR. THEODORE JAMES ALKOUSAKIS, M.D.
Title: DIRECTOR
Phone: (319) 400-7260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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