# HALEY DERMATOLOGY & SKIN CARE CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245471085
- **Authorized official:** DR. JENNIFER TARA HALEY M.D. (DERMATOLOGIST)
- **Authorized official phone:** (808) 954-5662

## Contact information

- **Practice address:** 3480 WOLVERINE DR, SUITE F, MONTROSE, CO 81401-4965
- **Practice address phone:** (808) 954-5662
- **Mailing address:** 16935 6450 RD, MONTROSE, CO 81403-7868
- **Mailing address phone:** (808) 954-5662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 04/29/2009