Organization
ROCKY MOUNTAIN DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HACKNEY SCATENA M.D. (CLINIC DIRECTOR)
(303) 444-0833
Entity
Organization
Contact information
Practice address
2400 SPRUCE ST, STE 101, BOULDER, CO 80302-4617
(303) 444-0833
(303) 444-0803
Mailing address
2400 SPRUCE ST, STE 101, BOULDER, CO 80302-4617
(303) 444-0833
(303) 444-0803
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
41453
CO
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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