institution
Divine Dermatology And Surgical Institute, Pllc
Medical Specialty Clinic/Center in Fort Collins, Colorado
NPI 1215460290

Divine Dermatology And Surgical Institute, Pllc is a Medical Specialty Clinic/Center based in Fort Collins, CO and is specialized in Medical Specialty. Divine Dermatology And Surgical Institute, Pllc practices in Fort Collins, CO. The NPI Number for Divine Dermatology And Surgical Institute, Pllc is 1215460290 and holds a License No. DR.0058205 (Colorado).

The current practice location address for Divine Dermatology And Surgical Institute, Pllc is 1260 Doctors Ln, Fort Collins, CO and can be reached out via phone at 813-765-8453.

Location: 1260 Doctors Ln, Fort Collins, CO, 80524-4072
institution
Provider Profile Details
NPI Number
1215460290
Provider Name
Divine Dermatology And Surgical Institute, Pllc
Credential
Provider Entity Type
Organization
Address
1260 Doctors Ln, Fort Collins, CO, 80524-4072
Phone Number
813-765-8453
Fax Number
Provider Enumeration Date
04/06/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1260 Doctors Ln
City
State
Zip
80524-4038
Phone Number
813-765-8453
Fax Number
person
Provider Business Mailing Address Details
Address
1260 Doctors Ln
City
State
Zip
80524-4038
Phone Number
813-765-8453
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
DR.0058205 (Colorado)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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