Organization
FRONT RANGE DERMATOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BLUM (PRACTICE MANAGER)
(970) 673-1155
Entity
Organization
Contact information
Practice address
4038 S TIMBERLINE RD UNIT 100, FORT COLLINS, CO 80525-6004
(970) 673-1155
(970) 673-4747
Mailing address
PO BOX 69, TIMNATH, CO 80547-0069
(970) 301-0130
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
06/30/2020
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