Organization
DERMATOLOGY ELECTRONIC CONSULTANTS, PROFESSIONAL LLC
Active
Other names
DermEConsult
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE JAMES ALKOUSAKIS M.D. (DIRECTOR)
(319) 400-7260
Entity
Organization
Contact information
Practice address
240 ELIZABETH ST, SUITE A-1, #15, ELIZABETH, CO 80107-7537
(319) 400-7260
Mailing address
240 ELIZABETH ST, SUITE H-1, #15, ELIZABETH, CO 80107-7537
(319) 400-7260
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
10/09/2012
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