COLORADO FACIAL PLASTIC SURGERY CENTER INC NPI 1114068376

NPI Information

COLORADO FACIAL PLASTIC SURGERY CENTER INC is a specialist in Englewood, 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. COLORADO FACIAL PLASTIC SURGERY CENTER INC NPI is 1114068376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 S LOGAN ST
SUITE 100
ENGLEWOOD, CO
ZIP 80113-766
Phone: (303) 839-7980
Fax: (303) 839-7936

The provider's authorized official is Mario J Imola .
The authorized official title is Owner and has the following contact phone number (303) 839-7980.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/1/2016.

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:

Other Identifiers

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