Organization
EPIPHANY DERMATOLOGY OF COLORADO, LLC
Active
Parent organization
EPIPHANY BUSINESS SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPIPHANY BUSINESS SERVICES, LLC
Authorized official
GHEORGHE PUSTA (CEO)
(512) 628-0465
Entity
Organization
Contact information
Practice address
3773 CHERRY CREEK N. DR #970, DENVER, CO 80209-3804
(303) 388-5629
(303) 321-7586
Mailing address
7300 RANCH RD. 2222, BLDG 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
(512) 628-0468
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
12/07/2023
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