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Individual

DR. RENATA PRADO DE FUCCIO OLIVEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9348 GRAND CORDERA PKWY, SUITE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Mailing address
9348 GRAND CORDERA PKWY, SUITE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
DR.0050098
CO
207ND0101X
MOHS-Micrographic Surgery Physician
250766
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DR.0050098
CO
207NS0135X
Procedural Dermatology Physician
DR.0050098
CO

Other

Enumeration date
03/29/2007
Last updated
11/04/2020
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