Healthcare Provider Details

I. General information

NPI: 1104232776
Provider Name (Legal Business Name): COLORADO DERMATOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 INVERNESS DR W STE 200
ENGLEWOOD CO
80112-5211
US

IV. Provider business mailing address

195 INVERNESS DR W STE 200
ENGLEWOOD CO
80112-5211
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-3235
  • Fax: 303-683-3236
Mailing address:
  • Phone: 303-683-3235
  • Fax: 303-683-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID M. VEREBELYI
Title or Position: OWNER
Credential: MD
Phone: 303-683-3235