Individual
DR. NICKOLAS EVANGELOS POULOS
Active
Individual
DR. NICKOLAS EVANGELOS POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0059273
CO
207N00000X
Dermatology Physician
OS13474
FL
207ND0101X
MOHS-Micrographic Surgery Physician
DR.0059273
CO
207ND0101X
MOHS-Micrographic Surgery Physician
OS13474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029298
KAISER COMMERCIAL NUMBER
CO
05
—
9000176165
—
CO
Enumeration date
06/28/2014
Last updated
06/11/2025
Update your record
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