Organization
TWIN PEAKS DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FUESTON M.D. (PRESIDENT OF TWIN PEAKS DERMATOLOGY)
(303) 485-8913
Entity
Organization
Contact information
Practice address
205 S MAIN ST, SUITE E, LONGMONT, CO 80501-1716
(303) 485-8913
(303) 485-8914
Mailing address
205 S MAIN ST, SUITE E, LONGMONT, CO 80501-1716
(303) 485-8913
(303) 485-8914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
09/25/2013
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