Provider Demographics
NPI:1487404869
Name:ELEVATED DERMATOLOGY AND SKIN CANCER SURGERY CENTER, PC
Entity type:Organization
Organization Name:ELEVATED DERMATOLOGY AND SKIN CANCER SURGERY CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSANA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-851-5200
Mailing Address - Street 1:10345 PARKGLENN WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3884
Mailing Address - Country:US
Mailing Address - Phone:720-851-5200
Mailing Address - Fax:720-851-5222
Practice Address - Street 1:8089 S LINCOLN ST STE 300
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2721
Practice Address - Country:US
Practice Address - Phone:720-851-5200
Practice Address - Fax:720-851-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty