Organization
RATIONAL DERMATOLOGY, PC
Active
Organization
RATIONAL DERMATOLOGY, PC
Active
Other names
Colorado Dermatology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
REAGAN ANDERSON DO (PRESIDENT)
(719) 246-4582
Entity
Organization
Contact information
Practice address
8580 SCARBOROUGH DR, SUITE 225, COLORADO SPRINGS, CO 80920-7586
(719) 531-5400
(719) 531-9545
Mailing address
8580 SCARBOROUGH DR, SUITE 225, COLORADO SPRINGS, CO 80920-7583
(719) 531-5400
(719) 531-9545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
48132
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356334965
INDIVIDUAL NPI
—
Enumeration date
02/03/2010
Last updated
06/03/2010
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