NPI 1114068376

Colorado Facial Plastic Surgery Center INC

Organisation Specialist Englewood, CO

Practice location

Address: 3600 S Logan St Suite 100, Englewood, CO 80113-3766
Phone: (303) 839-7980
Fax: (303) 839-7936

Authorised official

Name: Mario J Imola
Title: Owner
Phone: (303) 839-7980

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 38335 (CO)

Other Specialist providers in Colorado →

Registry record

NPI: 1114068376
Entity type: Organization
NPI issued: 9 Feb 2007
Record last updated: 1 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.