NPI 1821856303 · live from the CMS NPI Registry
Altitude Dermatology PC
Dermatology in Johnstown, CO. National Provider Identifier 1821856303, active.
NPI record
| NPI | 1821856303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 4795 Larimer Pkwy Ste 150, Johnstown, CO 80534 |
| Practice phone | 970-342-2222 |
| Enumerated | March 11, 2024 |
| Last updated | September 30, 2024 |
| Authorized official | Brad Baack, Authorized Rep |
| Other names | Altitude Dermatology, PC |
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.