NPI 1679509152 · live from the CMS NPI Registry
Dermatology & Laser Center Of Fort Collins LLC
Dermatology in Fort Collins, CO. National Provider Identifier 1679509152, active.
NPI record
| NPI | 1679509152 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1006 Centre Ave, Fort Collins, CO 80526 |
| Practice phone | 970-482-9001 |
| Enumerated | June 24, 2006 |
| Last updated | June 25, 2008 |
| Authorized official | Samuel Kornfeld, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 27691 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.