Organization
SAMANTHA GHISELLI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNCHU RING (PRACTICE MANAGE)
(970) 390-6051
Entity
Organization
Contact information
Practice address
501 S CHERRY ST STE 310, GLENDALE, CO 80246-1322
(303) 333-7873
(303) 321-7873
Mailing address
501 S CHERRY ST STE 310, GLENDALE, CO 80246-1322
(303) 333-7873
(303) 321-7873
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51663
NPI
CO
Enumeration date
04/06/2021
Last updated
04/06/2021
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