Organization
TWIN PEAKS DERMATOLOGY, PC
Active
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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