NPI 1447629886

Skin PC

Organisation MOHS-Micrographic Surgery Physician Boulder, CO

Practice location

Address: 905 Alpine Ave, Boulder, CO 80304-3305
Phone: (970) 667-3116
Fax: (970) 669-0159
Mailing address: PO Box 7065, Loveland, CO 80537-0065

Authorised official

Name: Kevin J Mott
Title: Ceo
Phone: (303) 569-7700

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence DR.0053082 (CO)

Other Dermatology providers in Colorado →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1447629886
Entity type: Organization
NPI issued: 16 Sep 2015
Record last updated: 17 Dec 2020

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.