Organization
ALTA VISTA DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAROLTA SZABO M.D. (PRESIDENT)
(303) 888-6426
Entity
Organization
Contact information
Practice address
206 W COUNTY LINE RD, SUITE 340, HIGHLANDS RANCH, CO 80129-2318
(303) 888-6426
(303) 032-1659
Mailing address
206 W COUNTY LINE RD, SUITE 340, HIGHLANDS RANCH, CO 80129-2318
(303) 888-6426
(303) 032-1659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611405201026
CCN
CO
01
—
COB5102
PTAN
CO
Enumeration date
03/10/2014
Last updated
03/10/2014
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