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PEAK DERMATOLOGY PROFESSIONAL LLC NPI 1932479961


NPI Information

NPI: 1932479961
Provider Name: PEAK DERMATOLOGY PROFESSIONAL LLC
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 06D2036649

Address:
2009 W LITTLETON BLVD
SUITE 100
LITTLETON, CO
ZIP 80120
Phone: (303) 246-4451
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PEAK DERMATOLOGY PROFESSIONAL LLC is a procedural dermatology dermatology in Littleton, CO. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). PEAK DERMATOLOGY PROFESSIONAL LLC NPI is 1932479961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2009 W LITTLETON BLVD
SUITE 100
LITTLETON, CO
ZIP 80120-024
Phone: (303) 246-4451
Fax: (720) 287-6235

The provider's authorized official is Riley Greene .
The authorized official title is Managing Member and has the following contact phone number (303) 246-4451.

The CLIA number assigned to this NPI record is 06D2036649 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 3/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology46029COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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