Organization
DERMATOLOGY OF NORTHERN COLORADO P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HAHN (OFFICE MANAGER)
(970) 221-2626
Entity
Organization
Contact information
Practice address
3726 S TIMBERLINE RD, SUITE 101, FORT COLLINS, CO 80525-4331
(970) 221-2626
Mailing address
3726 S TIMBERLINE RD, SUITE 101, FORT COLLINS, CO 80525-4331
(970) 221-2626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0341135
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009205
—
CO
01
—
CD8608
RAILROAD MEDICARE
CO
01
—
DEM6808
BLUE CROSS
CO
Enumeration date
10/10/2006
Last updated
02/22/2008
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