Organization
DERMATOLOGY & LASER CENTER AT HARVARD PARK, PLLC
Active
Other names
DERMATOLOGY & LASER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W EUBANKS M.D. (MANAGING PARTNER)
(303) 744-2704
Entity
Organization
Contact information
Practice address
950 E HARVARD AVE, STE 440, DENVER, CO 80210-7009
(303) 744-2704
(303) 744-3244
Mailing address
950 E HARVARD AVE, STE 440, DENVER, CO 80210-7009
(303) 744-2704
(303) 744-3244
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87557011
—
CO
01
—
CH4005
RR MEDICARE
CO
01
—
DE635330
BCBS
CO
Enumeration date
09/02/2006
Last updated
05/17/2013
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