Organization
DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G HUGHES D. O. (PRESIDENT)
(719) 488-8724
Entity
Organization
Contact information
Practice address
685 MISSION HILL WAY, COLORADO SPGS, CO 80921-2671
(719) 488-8724
(719) 531-9545
Mailing address
685 MISSION HILL WAY, COLORADO SPGS, CO 80921-2671
(719) 488-8724
(719) 531-9545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22263
CO
207ND0900X
Dermatopathology Physician
22263
CO
207NS0135X
Procedural Dermatology Physician
22263
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04012936
—
CO
Enumeration date
04/04/2007
Last updated
03/05/2014
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