NPI 1558463307 · live from the CMS NPI Registry
Carl W Demidovich, M.D.
Dermatology in Denver, CO. National Provider Identifier 1558463307, active.
NPI record
| NPI | 1558463307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 950 E Harvard Ave, Ste 440, Denver, CO 80210 |
| Practice phone | 303-744-2704 |
| Enumerated | September 2, 2006 |
| Last updated | May 17, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 33910 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.