Organization
HALEY DERMATOLOGY & SKIN CARE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TARA HALEY M.D. (DERMATOLOGIST)
(808) 954-5662
Entity
Organization
Contact information
Practice address
3480 WOLVERINE DR, SUITE F, MONTROSE, CO 81401-4965
(808) 954-5662
Mailing address
16935 6450 RD, MONTROSE, CO 81403-7868
(808) 954-5662
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2009
Last updated
04/29/2009
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