Organization
SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Active
Parent organization
SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Other names
Southern Colorado Dermatology Clinic, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Authorized official
TERESA K DYER (PRACTICE ADMINISTRATOR)
(719) 574-0310
Entity
Organization
Contact information
Practice address
509 W 17TH ST, PUEBLO, CO 81003-2622
(719) 564-5544
(719) 564-2246
Mailing address
1975 RESEARCH PKWY STE 165, COLORADO SPRINGS, CO 80920-1026
(719) 574-0310
(719) 574-6574
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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