NPI 1356334965 · live from the CMS NPI Registry
Reagan B Anderson, D.O.
Dermatology in Colorado Springs, CO. National Provider Identifier 1356334965, active.
NPI record
| NPI | 1356334965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920 |
| Practice phone | 719-531-5400 |
| Enumerated | August 30, 2005 |
| Last updated | September 3, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | DR.0048132 (CO) |
| Dermatology primary | 207N00000X | 48132 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.