Colorado Springs Dermatology Clinic, P.C.

LBN: Colorado Springs Dermatology Clinic, P.C.
Colorado Springs Dermatology Clinic, P.C. is an health care organization with primary practice located at 1332 Bauer Ln , Canon City CO 81212-4669. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty. Colorado Springs Dermatology Clinic, P.C. can be contacted via phone (719) 275-7485, or through Wallace, Sandy via phone (719) 471-1763.

Contact Information

Primary practice address
1332 Bauer Ln Canon City CO 81212-4669
Phone: (719) 275-7485
Fax: (719) 275-5331
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Sandy
Phone: (719) 471-1763

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1720685894
LBN Legal business name Colorado Springs Dermatology Clinic, P.C.
DBA Doing business as
Authorized official Wallace, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2020
Last updated May 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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