Organization
SALIDA DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY QUEEN (OFFICER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
515 E 1ST ST, SALIDA, CO 81201-2805
(719) 539-5338
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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