| NPI | 1700160496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LADNER President 303-807-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CO DR50123) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-08-07 |