Organization
MOUNTAINTOP DERMATOLOGY, PLLC
Active
Organization
MOUNTAINTOP DERMATOLOGY, PLLC
Active
Other names
Frank M Samarin, MD, Frank M. Samarin
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE J GARRETT (PRACTICE MANAGER)
(719) 265-0100
Entity
Organization
Contact information
Practice address
2465 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1089
(719) 265-0100
Mailing address
2465 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1089
(719) 265-0100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
06220576
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06220576
—
CO
05
—
1629037395
—
CO
05
—
1699021386
—
CO
05
—
73232831
—
CO
01
—
COA108836
PTAN
—
01
—
COA108837
PTAN
—
Enumeration date
07/31/2012
Last updated
12/30/2020
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