Organization
INTEGRATED DERMATOLOGY OF LONE TREE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D. QUEEN (AUTHORIZED OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
10099 RIDGEGATE PKWY, SUITE 410, LONE TREE, CO 80124-5531
(303) 770-4040
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/02/2015
Last updated
01/23/2019
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