Organization
SKIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J MOTT MD (CEO)
(303) 569-7700
Entity
Organization
Contact information
Practice address
905 ALPINE AVE, BOULDER, CO 80304-3305
(970) 667-3116
(970) 669-0159
Mailing address
PO BOX 7065, LOVELAND, CO 80537-0065
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DR.0053082
CO
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
09/16/2015
Last updated
12/17/2020
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