NPI 1417128455 · live from the CMS NPI Registry
Central Colorado Dermatology, P.C.
Dermatology in Salida, CO. National Provider Identifier 1417128455, active.
NPI record
| NPI | 1417128455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 925 Rush Dr, Salida, CO 81201 |
| Practice phone | 719-539-4600 |
| Mailing address | Po Box 849, Salida, CO 81201 |
| Enumerated | March 18, 2008 |
| Last updated | February 7, 2011 |
| Authorized official | Anthony Timko, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 39785 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.