Organization
FOUR CORNERS LASER AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY A WARREN (BILLER)
(970) 259-7679
Entity
Organization
Contact information
Practice address
2901 MAIN AVE STE A, DURANGO, CO 81301-4242
(970) 385-1745
Mailing address
2901 MAIN AVE STE A, DURANGO, CO 81301-4242
(970) 385-1745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33496
CO
Other
Enumeration date
02/15/2012
Last updated
02/21/2012
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