Organization
KALLGREN DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNN RANCIS PA-C (PA-C)
(303) 444-8100
Entity
Organization
Contact information
Practice address
3434 47TH STREET, SUITE 200, BOULDER, CO 80301
(303) 444-8100
(303) 444-8113
Mailing address
3434 47TH STREET, SUITE 200, BOULDER, CO 80301
(303) 444-8100
(303) 444-8113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
179
CO
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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