NPI 1730106642 · live from the CMS NPI Registry
Bella Derma, LLC
Dermatology in Edwards, CO. National Provider Identifier 1730106642, active.
NPI record
| NPI | 1730106642 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1140 Edwards Village Blvd, Suite B200, Edwards, CO 81632 |
| Practice phone | 970-926-9226 |
| Mailing address | 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730 |
| Enumerated | July 16, 2006 |
| Last updated | December 7, 2023 |
| Authorized official | Gheorghe Pusta, Ceo |
| Other names | Aspen And Vail Dermatology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.