Organization
KALLGREN DERMATOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MAGUIRE (OFFICE MANAGER)
(303) 444-8100
Entity
Organization
Contact information
Practice address
3434 47TH ST, #200, BOULDER, CO 80301-1880
(303) 444-8100
(303) 444-8113
Mailing address
3434 47TH ST, #200, BOULDER, CO 80301-1880
(303) 444-8100
(303) 444-8113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33197
CO
207ND0900X
Dermatopathology Physician
33197
CO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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