Provider Demographics
NPI:1578914289
Name:CARRIE CERA HILL MD PLLC
Entity Type:Organization
Organization Name:CARRIE CERA HILL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CERA HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-725-7592
Mailing Address - Street 1:501 S CHERRY ST STE 310
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1322
Mailing Address - Country:US
Mailing Address - Phone:303-725-7592
Mailing Address - Fax:
Practice Address - Street 1:501 S CHERRY ST STE 310
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1322
Practice Address - Country:US
Practice Address - Phone:303-725-7592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty