Organization
MONTROSE DERMATOLOGY PLLC
Active
Other names
Montrose Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATA MARISA RAZIANO MD (PHYSICIAN/OWNER)
(970) 964-8463
Entity
Organization
Contact information
Practice address
2730 COMMERCIAL WAY, MONTROSE, CO 81401
(970) 964-4036
(970) 964-4038
Mailing address
2730 COMMERCIAL WAY, MONTROSE, CO 81401
(970) 964-4036
(970) 964-4038
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
46375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS7724
RAILROAD WORKERS MEDICARE
—
Enumeration date
05/11/2011
Last updated
01/09/2023
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