Mountain Dermatology Specialists, Pc

LBN: Mountain Dermatology Specialists, Pc
Mountain Dermatology Specialists, Pc is an health care organization with primary practice located at 105 Edwards Village Boulevard Suite G211, Edwards CO 81632-3211. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Mountain Dermatology Specialists, Pc can be contacted via phone (970) 926-1800, or through Urquhart, Jean L via phone (970) 926-1800.

Contact Information

Primary practice address
105 Edwards Village Boulevard Suite G211 Edwards CO 81632-3211
Phone: (970) 926-1800
Fax: (888) 505-2650
Website:
Map and Directions
Authorized official contact:
Name: Urquhart, Jean L Doctor of Medicine (MD)
Phone: (970) 926-1800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38262 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Colorado
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 38262 Colorado

Profile Details

NPI number 1790053213
LBN Legal business name Mountain Dermatology Specialists, Pc
DBA Doing business as
Authorized official Urquhart, Jean L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2011
Last updated Jan 23rd, 2018 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790053213 NPPES
Colorado MEDICAID 60738740

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