Organization
SORA DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JETTE HOOPER MD (CO-OWNER)
(720) 915-5343
Entity
Organization
Contact information
Practice address
355 UNION BLVD STE 300, LAKEWOOD, CO 80228-1508
(720) 915-5343
(720) 615-4812
Mailing address
355 UNION BLVD STE 300, LAKEWOOD, CO 80228-1508
(720) 915-5343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
11/20/2023
Last updated
07/03/2024
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