Organization
DERMATOLOGY SPECIALISTS OF BOULDER, PC
Active
Organization
DERMATOLOGY SPECIALISTS OF BOULDER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN B ALLEN MD (PRESIDENT)
(303) 442-6647
Entity
Organization
Contact information
Practice address
1056 S 88TH ST, LOUISVILLE, CO 80027-9460
(303) 442-6647
(303) 442-2696
Mailing address
1056 S 88TH ST, LOUISVILLE, CO 80027-9460
(303) 442-6647
(303) 442-2696
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
43816
CO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
43816
CO
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
03/01/2007
Last updated
11/14/2024
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