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Organization

INTEGRATED DERMATOLOGY OF DENVER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY QUEEN (MANAGER)
(561) 314-2000
Entity
Organization

Contact information

Practice address
7476 WATERSIDE LOOP RD, SUITE 600, DENVER, NC 28037-7679
(704) 822-5433
Mailing address
902 CLINT MOORE RD, SUITE 226, BOCA RATON, FL 33487-2800
(561) 314-2000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/05/2015
Last updated
10/05/2015
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