Organization
COLORADO SPRINGS DERMATOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B TURNER M.D. (TREASURER)
(719) 471-1763
Entity
Organization
Contact information
Practice address
170 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 471-1763
(719) 471-2498
Mailing address
170 PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 471-1763
(719) 471-2498
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4020582
—
CO
Enumeration date
08/20/2006
Last updated
09/05/2024
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