NPI 1891392973 · live from the CMS NPI Registry
Colorado Springs Dermatology Clinic, P.C.
Dermatology, MOHS-Micrographic Surgery in Colorado Springs, CO. National Provider Identifier 1891392973, active.
NPI record
| NPI | 1891392973 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920 |
| Practice phone | 719-471-1763 |
| Mailing address | 170 S Parkside Dr, Colorado Springs, CO 80910 |
| Enumerated | October 2, 2020 |
| Last updated | September 5, 2024 |
| Authorized official | Heather Milenski, Billing Department Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.