ROCKY MOUNTAIN PLASTIC SURGERY P.C. NPI 1104959956

NPI Information

  • NPI: 1104959956
  • Provider Name: ROCKY MOUNTAIN PLASTIC SURGERY P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1830 BLAKE AVE
    SUITE 207
    GLENWOOD SPRINGS, CO
    ZIP 81601
  • Phone: (970) 945-1144

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NPI Details

ROCKY MOUNTAIN PLASTIC SURGERY P.C. is a specialist in Glenwood Springs, CO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROCKY MOUNTAIN PLASTIC SURGERY P.C. NPI is 1104959956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1830 BLAKE AVE
SUITE 207
GLENWOOD SPRINGS, CO
ZIP 81601-261
Phone: (970) 945-1144
Fax: (970) 945-9138

The provider's authorized official is Katie Dehm .
The authorized official title is Manager and has the following contact phone number (970) 945-1144.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 1/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist36386COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C421308MEDICARE PINCOLORADO
215728382MEDICAIDCOLORADO
3A79025MEDICARE UPINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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