NPI 1003209248

Azeal Dermatology Institute, LLC

Organisation Dermatology Physician Boulder, CO

Practice location

Address: 5365 Spine Rd Suite C, Boulder, CO 80301-3324
Phone: (303) 530-9325
Mailing address: PO Box 7446, Loveland, CO 80537-0446

Authorised official

Name: Stacey Pilkington
Title: Owner
Phone: (303) 530-9325

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Colorado →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1003209248
Entity type: Organization
NPI issued: 12 Mar 2015
Record last updated: 15 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.