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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