Organization
ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY G PAPADEAS DO (PRESIDENT)
(303) 368-8611
Entity
Organization
Contact information
Practice address
1390 S POTOMAC ST, SUITE 124, AURORA, CO 80012-6165
(303) 368-8611
(303) 368-9791
Mailing address
3464 S WILLOW ST, SUITE 194, DENVER, CO 80231-4531
(303) 755-2900
(303) 745-7997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04021911
—
CO
01
—
AD199008
BLUE SHIELD
CO
01
—
CN5901
RAILROAD MEDICARE
CO
Enumeration date
05/15/2006
Last updated
07/12/2019
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