Organization
FORT COLLINS SKIN CLINIC, P.C.
Active
Organization
FORT COLLINS SKIN CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD ROBIN BAACK M.D. (M.D.)
(970) 484-6303
Entity
Organization
Contact information
Practice address
1120 E ELIZABETH ST, SUITE G-2, FORT COLLINS, CO 80524-4044
(970) 484-6303
(970) 484-6908
Mailing address
1120 E ELIZABETH ST, SUITE G-2, FORT COLLINS, CO 80524-4044
(970) 484-6303
(970) 484-6908
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
39315
CO
Other
Enumeration date
06/26/2006
Last updated
09/04/2009
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