Organization
ALTITUDE DERMATOLOGY PC
Active
Other names
Altitude Dermatology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD BAACK MD (AUTHORIZED REP)
(970) 217-8817
Entity
Organization
Contact information
Practice address
4795 LARIMER PKWY STE 150, JOHNSTOWN, CO 80534-9021
(970) 342-2222
(970) 342-2233
Mailing address
4795 LARIMER PKWY STE 150, JOHNSTOWN, CO 80534-9021
(970) 342-2222
(970) 342-2233
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
09/30/2024
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