NPI 1023787371
Premier Dermatology, PLLC
Practice location
- Address
- 6240 S Main St, Aurora, CO 80016-5376
- Phone
- (303) 908-1673
- Mailing address
- 7867 S Cathay St, Centennial, CO 80016-1941
Authorised official
- Name
- Agnessa Goodson
- Title
- Md/Dermatologist and Manager
- Phone
- (303) 908-1673
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1023787371
- Entity type
- Organization
- NPI issued
- 9 Sep 2021
- Record last updated
- 9 Sep 2021
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.