DESTINATION DERMATOLOGY LLC
Ambulatory Health in Copper Mountain, CO

License number
Colorado PA0004388
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: KELLY BALLOU PA-C
Title: MANAGING MEMBER
Phone: (309) 287-1909
Address
Address 2
60 Main Street Ste F, Copper Mountain, CO 80443
265 Dillon Ridge Rd STE C402, Montezuma, CO 80435
National Provider ID: 1205368453
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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