NPI 1780690487 · live from the CMS NPI Registry
Bret Baack, MD
Dermatology in Fort Collins, CO. National Provider Identifier 1780690487, active.
NPI record
| NPI | 1780690487 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1120 E Elizabeth St, G-2, Fort Collins, CO 80524 |
| Practice phone | 970-484-6303 |
| Enumerated | August 1, 2006 |
| Last updated | October 30, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery | 208200000X | 90-145 (NM) |
| Dermatology primary | 207N00000X | 51164 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.