Organization
DERMATOLOGY & LASER CENTER OF FORT COLLINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL A KORNFELD (OFFICE MANAGER)
(970) 482-9001
Entity
Organization
Contact information
Practice address
1006 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 482-9001
(970) 482-1411
Mailing address
1006 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 482-9001
(970) 482-1411
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27691
CO
Other
Enumeration date
06/24/2006
Last updated
06/25/2008
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