Organization
CROSSROADS DERMATOLOGY LLC
Active
Organization
CROSSROADS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH MARIE BAIR MD (MEMBER)
(813) 504-6273
Entity
Organization
Contact information
Practice address
2350 17TH AVE STE 100, LONGMONT, CO 80503-1738
(720) 204-3376
Mailing address
1610 TURIN DR, LONGMONT, CO 80503-2717
(813) 504-6273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
48408
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04440087
—
CO
01
—
1760670863
INDIVIDUAL NPI - SARAH M BAIR
—
Enumeration date
06/01/2018
Last updated
06/11/2019
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