NPI 1578746871 ROARING FORK DERMATOLOGY INC PC BASALT CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Roaring Fork Dermatology Inc Pc - NPI: 1578746871

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: ROARING FORK DERMATOLOGY INC PC
NPI Number: 1578746871
Entity Type Code: Organizational (2)
Authorized Official Name: JULIAN RAMSEY MELLETTE
(OWNER)
Mailing Address: 23262 Two Rivers Rd
Basalt
State: CO US
Postal Code: 816219227
Phone Number: 9709274731
Fax Number: 9709274420
NPI Enumeration Date: 12/10/2007
NPI Last Update Date: 06/19/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QH0100X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Health Service
Taxonomy Definition:


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