Organization
COLORADO DERMATOLOGY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH V LILLIS M.D. (OWNER)
(888) 884-6776
Entity
Organization
Contact information
Practice address
3609 S TIMBERLINE RD UNIT A, FORT COLLINS, CO 80525-3430
(888) 884-6776
(970) 482-9948
Mailing address
3609 S TIMBERLINE RD UNIT A, FORT COLLINS, CO 80525-3430
(888) 884-6776
(970) 482-9948
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0047867
CO
Other
Enumeration date
08/29/2016
Last updated
10/21/2020
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