| NPI | 1497934558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP C. MARIN Owner 719-565-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO 40500) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO 40500) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |