NPI 1306448220 · live from the CMS NPI Registry
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.
Dermatology in Evergreen, CO. National Provider Identifier 1306448220, active.
NPI record
| NPI | 1306448220 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 30960 Stagecoach Blvd, Ste W140, Evergreen, CO 80439 |
| Practice phone | 303-670-7065 |
| Mailing address | 3464 S. Willow Street, Suite 194, Denver, CO 80231 |
| Enumerated | November 16, 2020 |
| Last updated | November 16, 2020 |
| Authorized official | Gregory Papadeas, Doctor Of Osteopathic Medicine |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.