NPI 1649354150 · live from the CMS NPI Registry
Anna L Bruckner, MD
Dermatology, Pediatric Dermatology in Aurora, CO. National Provider Identifier 1649354150, active.
NPI record
| NPI | 1649354150 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Pediatric Dermatology 207NP0225X |
| Practice location | 13123 E 16th Ave, Children'S Hospital Colorado, Aurora, CO 80045 |
| Practice phone | 720-777-1234 |
| Mailing address | Po Box 110429, University Physicians, INC., Aurora, CO 80042 |
| Enumerated | October 24, 2006 |
| Last updated | October 4, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 37780 (CO) |
| Dermatology, Pediatric Dermatology primary | 207NP0225X | 37780 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.