NPI 1144776238 · live from the CMS NPI Registry
Colorado Dermatology Group, PLLC
Dermatology in Fort Collins, CO. National Provider Identifier 1144776238, active.
NPI record
| NPI | 1144776238 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 3609 S Timberline Rd Unit A, Fort Collins, CO 80525 |
| Practice phone | 888-884-6776 |
| Enumerated | August 29, 2016 |
| Last updated | October 21, 2020 |
| Authorized official | Joseph Lillis, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | DR.0047867 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.