Provider Demographics
NPI:1841498391
Name:CERA HILL, CARRIE E (MD)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:E
Last Name:CERA HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 E 1ST AVE APT 528
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5850
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:80246-1325
Practice Address - Country:US
Practice Address - Phone:303-333-7873
Practice Address - Fax:303-321-7873
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0211207N00000X
IA38037207N00000X
CO48901207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology