Organization
MOUNTAIN VIEW DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD G LEVINE MD (PRESIDENT)
(303) 485-5200
Entity
Organization
Contact information
Practice address
2935 BASELINE RD, SUITE 201, BOULDER, CO 80303-2366
(303) 485-5200
Mailing address
3464 S WILLOW ST, SUITE 068, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023727
—
CO
Enumeration date
06/08/2006
Last updated
04/06/2017
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