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Individual

DR. SAMANTHA FAY GHISELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
501 S CHERRY ST STE 310, GLENDALE, CO 80246-1322
(303) 333-7873
(303) 321-7873
Mailing address
501 S CHERRY ST STE 310, GLENDALE, CO 80246-1322
(303) 333-7873
(303) 321-7873

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
51663
CO
207ND0101X
MOHS-Micrographic Surgery Physician
A85337
CA
207ND0900X
Dermatopathology Physician
A85337
CA
207NS0135X
Procedural Dermatology Physician
A85337
CA

Other

Enumeration date
08/12/2006
Last updated
01/11/2019
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