Organization
BALD ELECTROLYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FALAN MOUTON MD (OWNER)
(512) 944-3756
Entity
Organization
Contact information
Practice address
2544 15TH ST, DENVER, CO 80211-3902
(512) 944-3756
Mailing address
2544 15TH ST, DENVER, CO 80211-3902
(512) 944-3756
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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