| NPI | 1134668643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN PHILIP PAYEA Owner 303-232-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO 0022517) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CO 0022517) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |