DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1962164269- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1715 IRON HORSE DR STE 104, LONGMONT, CO, 805019756
- Phone
- (970) 286-2668
- Fax
- (970) 294-4954
Specialties & Taxonomies
Dermatology
Primary