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NPI Code Detail

MEDICARE: SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC

MEDICARE: SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1700496668
Entity Type Code : Organization
Provider Name (Legal Business Name) : SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC
Provider Business Mailing Address
First Line : 3540 S. POPLAR STREET
Second Line : SUITE 300
City : DENVER
State : CO
Zip : 80237-1364
Country : US
Telephone Number : 303-850-9715
Fax Number : 303-850-0649
Provider Business Practice Location Address
First Line : 1960 N. OGDEN STREET
Second Line : SUITE 555
City : DENVER
State : CO
Zip : 80218-3602
Country : US
Telephone Number : 303-831-0400
Fax Number : 303-831-0417
Authorized Official
Title or Position : PRESIDENT
Name : MEG LEMON
Credential : M.D.
Telephone Number : 303-831-0400
Provider Enumeration Date : 08/05/2020
Last Update Date : 08/13/2020

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Directions to “SORKIN DERMATOLOGY ASSOCIATES PROFESSIONAL LLC ” Practice Location

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