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Organization

ISABEL H KOELSCH MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ISABEL H KOELSCH MD (OWNER)
(303) 776-1500
Entity
Organization

Contact information

Practice address
1850 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(303) 776-1500
(303) 772-2995
Mailing address
1850 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(303) 776-1500
(303) 772-2995

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23406
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01234061
CO
Enumeration date
11/08/2006
Last updated
08/22/2020
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