Dermatology
VANGUARD MEDICAL SPECIALISTS LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1366062994 · enumerated 2020-04-23 · record updated 2024-04-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: AMBER GUST-ALLEN, Revenue Cycle Manager · (719) 465-5643
Addresses and phones
- Practice location 109 LATIGO LN STE F, CANON CITY, CO, 81212-8113 (719) 355-1585 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 5088, DENVER, CO, 80217-5088 (719) 355-1585 Fax (719) 623-2983 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Dermatology, Dermatopathology 207ND0900X
- Dermatology, Pediatric Dermatology 207NP0225X
- Dermatology, Procedural Dermatology 207NS0135X
- Otolaryngology, Facial Plastic Surgery 207YS0123X
- Otolaryngology, Plastic Surgery within the Head & Neck 207YX0007X
- Otolaryngology, Otolaryngology/Facial Plastic Surgery 207YX0905X
- Plastic Surgery 208200000X
- Plastic Surgery, Plastic Surgery Within the Head and Neck 2082S0099X
In this directory
Locations and evidence
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Practice location
CANON CITY, CO, 812128113
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.