Organization · Type 2 NPI

Divine Dermatology and Surgical Institute, PLLC

Dermatology Physician · Loveland, CO

NPI number 1104452804 Active

Practice location

1327 Eagle Dr
Loveland, CO 80537-8059

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

2 other providers at this address

Other dermatology physician providers in Loveland

See all in Loveland →

NPI record

NPI: 1104452804
Entity type: Organization (Type 2)
Issued: Mar 14, 2020
Last updated: Mar 14, 2020
Status: Active
Subpart: Yes of Divine Dermatology and Surgical Institute, PLLC

Other names

Divine Dermatology and Surgical Institute · other name

Authorized official

Jennifer Michelle Divine
Owner
(970) 286-2668

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104452804

Divine Dermatology and Surgical Institute, PLLC's National Provider Identifier is 1104452804, issued on Mar 14, 2020. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Loveland, CO. The record was last updated on Mar 14, 2020.