DOROTHY W BLANKENSHIP

BELLA DERMA PROFESSIONAL LLC

Dr DOROTHY W BLANKENSHIP is a female medical professional, specializing in Dermatology. She graduated in 2013 from Georgetown University Of Medicine.

Contact

BELLA DERMA PROFESSIONAL LLC

919 GRAND AVE
GLENWOOD SPRINGS
CO
816013601

Tel: 9709269226

DOROTHY W BLANKENSHIP Information

Npi 1255774329
Pac Id 8527330760
Professional Enrollment Id I20170822003601
Last Name BLANKENSHIP
First Name DOROTHY
Middle Name W
Suffix
Gender F
Credential
Medical School Name GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 2013
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BELLA DERMA PROFESSIONAL LLC
Group Practice Pac Id 2466424072
Number Of Group Practice Members 9
Line 1 Street Address 919 GRAND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GLENWOOD SPRINGS
State CO
Zip Code 816013601
Phone Number 9709269226
Hospital Affiliation Ccn 1 060075
Hospital Affiliation Lbn 1 VALLEY VIEW HOSPITAL ASSOCIATION
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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