OrganizationActive
Advanced Dermatology of Colorado, PC
NPI 1710370648 · Dermatology Physician · Fort Collins, CO
Provider details
- NPI number
- 1710370648
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director-Provider Services(407) 875-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 Poudre River Dr Unit a
Fort Collins, CO 80524-3557
Phone: (970) 484-6303
Fax: (970) 484-3036
Approximate (ZIP-level) locationGet directions
Mailing address
151 Southhall Ln
Maitland, FL 32751-7176
Registry dates
- Enumerated
- 2015-03-17
- Last updated
- 2018-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.