Organization
PERFECT SKIN PC
Active
Other names
Susan Ellis, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN S ELLIS M.D. (OWNER PRESIDENT)
(719) 471-4147
Entity
Organization
Contact information
Practice address
2925 PROFESSIONAL PL, SUITE 104, COLORADO SPRINGS, CO 80904-8126
(719) 471-4147
(719) 471-4148
Mailing address
2925 PROFESSIONAL PL, SUITE 104, COLORADO SPRINGS, CO 80904-8126
(719) 471-4147
(719) 471-4148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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