Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Collins Skin Clinic, PC

Organization Dermatology Physician · NPI 1619904943

Fort Collins Skin Clinic, PC provides Dermatology Physician services in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1120 E Elizabeth St Ste G-2
Fort Collins, CO 80524-4044 Not confirmed with CMS for 17 years — call before visiting
Phone: (970) 484-6303
Fax: (970) 484-6908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 39315 (CO)

Record details

NPI number1619904943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Baack — M.D. · (970) 484-6303
NPI enumeratedJune 26, 2006
Last updated in NPPESSeptember 4, 2009
Mailing address1120 E Elizabeth St, Suite G-2, Fort Collins, CO 80524-4044

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