NPI 1225295199 · live from the CMS NPI Registry
Advanced Alpine Dermatology Prof LLC
Dermatology in Boulder, CO. National Provider Identifier 1225295199, active.
NPI record
| NPI | 1225295199 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1136 Alpine Ave, Suite 310, Boulder, CO 80304 |
| Practice phone | 303-449-3500 |
| Enumerated | May 19, 2008 |
| Last updated | May 19, 2008 |
| Authorized official | Peter Bachmann, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 42483 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.