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Organization

CREEKSIDE SKIN CARE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET E VERNON NP (OWNER)
(303) 823-3376
Entity
Organization

Contact information

Practice address
8000 E PRENTICE AVE, SUITE D-10, GREENWOOD VILLAGE, CO 80111-2744
(303) 823-3376
(303) 683-3306
Mailing address
8000 E PRENTICE AVE, SUITE D-10, GREENWOOD VILLAGE, CO 80111-2744
(303) 823-3376
(303) 683-3306

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45274
CO

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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