NPI 1043340805 · live from the CMS NPI Registry
Shawn B Allen, MD
Dermatology, MOHS-Micrographic Surgery in Boulder, CO. National Provider Identifier 1043340805, active.
NPI record
| NPI | 1043340805 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2880 Folsom St Ste 200, Boulder, CO 80304 |
| Practice phone | 303-442-6647 |
| Mailing address | 1056 S 88th St, Louisville, CO 80027 |
| Enumerated | March 7, 2007 |
| Last updated | June 2, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 43816 (CO) |
| Dermatology, Dermatopathology | 207ND0900X | 43816 (CO) |
| Dermatology, Procedural Dermatology | 207NS0135X | 43816 (CO) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | 43816 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.