| NPI | 1538553151 |
|---|---|
| Doing Business As | MOUNT SOPRIS PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREVLING CFO 970-384-6606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2022-12-12 |