Individual
DR. STEVEN D RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3575 BROADWAY ST, BOULDER, CO 80304-1825
(303) 449-0933
(303) 447-0794
Mailing address
3575 BROADWAY ST, BOULDER, CO 80304-1825
(303) 449-0933
(303) 447-0794
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0058506
CO
207N00000X
Dermatology Physician
199481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01576365
—
NY
05
—
37125036
—
CO
Enumeration date
04/19/2006
Last updated
12/08/2017
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