NPI 1275953689

Kallgren Dermatology

Organisation Dermatology Physician Boulder, CO

Practice location

Address: 3434 47th Street Suite 200, Boulder, CO 80301
Phone: (303) 444-8100
Fax: (303) 444-8113

Authorised official

Name: Susan Lynn Rancis
Title: Pa-C
Phone: (303) 444-8100

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 179 (CO)

Other Dermatology providers in Colorado →

Registry record

NPI: 1275953689
Entity type: Organization
NPI issued: 24 Apr 2014
Record last updated: 24 Apr 2014

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.