Organization · Type 2 NPI

Vanguard Medical Specialists LLC

Dermatology Physician · Canon City, CO

NPI number 1366062994 Active

Practice location

109 Latigo Ln Ste F
Canon City, CO 81212-8113

Mailing address

PO Box 5088
Denver, CO 80217-5088

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Dermatopathology Physician 207ND0900XNone listed
Pediatric Dermatology Physician 207NP0225XNone listed
Procedural Dermatology Physician 207NS0135XNone listed
Facial Plastic Surgery Physician 207YS0123XNone listed
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007XNone listed
Otolaryngology/Facial Plastic Surgery Physician 207YX0905XNone listed
Plastic Surgery Physician 208200000XNone listed
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099XNone 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…

About NPI 1366062994

Vanguard Medical Specialists LLC's National Provider Identifier is 1366062994, issued on Apr 23, 2020. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Canon City, CO. The record was last updated on Apr 1, 2024.