Organization
MONARCH DERMATOLOGY & SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMMON LARSEN (CO-OWNER)
(970) 667-3116
Entity
Organization
Contact information
Practice address
3451 MOUNTAIN LION DR, LOVELAND, CO 80537-8817
(970) 800-9330
(720) 927-4301
Mailing address
PO BOX 731, LOVELAND, CO 80539-0731
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
03/10/2021
Last updated
03/26/2021
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