Healthcare Provider Details

I. General information

NPI: 1588631055
Provider Name (Legal Business Name): SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 RESEARCH PKWY STE 165
COLORADO SPGS CO
80920-1026
US

IV. Provider business mailing address

1975 RESEARCH PKWY STE 165
COLORADO SPGS CO
80920-1026
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-0518
  • Fax: 719-574-6574
Mailing address:
  • Phone: 719-574-0518
  • Fax: 719-574-6574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER R SARTORI
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 719-574-0310