Organization
COLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ELIZABETH MILENSKI (BILLING DEPARTMENT MANAGER)
(719) 471-1763
Entity
Organization
Contact information
Practice address
406 N MAIN ST, PUEBLO, CO 81003-3123
(719) 566-0176
(719) 566-0177
Mailing address
170 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 471-1763
(719) 471-2498
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
07/15/2024
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