NPI 1770822249 · live from the CMS NPI Registry
Becker Dermatology
Dermatology, MOHS-Micrographic Surgery in Boulder, CO. National Provider Identifier 1770822249, active.
NPI record
| NPI | 1770822249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 1122 Orange Pl, Boulder, CO 80304 |
| Practice phone | 303-506-6464 |
| Enumerated | February 4, 2013 |
| Last updated | March 1, 2013 |
| Authorized official | Todd Becker, Owner |
| Other names | Becker Dermatology, PLLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | DR-51006 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.