| NPI | 1578854352 |
|---|---|
| Doing Business As | MOUNTAIN VISTA PLASTIC SURGERY PC |
| Entity Type | Organization |
| Authorized Contact | AMY H BREWSTER Owner 970-226-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |