NPI 1740623081

Colorado Laser Clinic INC

Organisation Plastic Surgery Physician Colorado Springs, CO

Practice location

Address: 1985 Dominion Way, Colorado Springs, CO 80918-1476
Phone: (719) 596-4000

Authorised official

Name: Robert T Motazedi
Title: President
Phone: (719) 596-4000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 27602 (CO)

Other Plastic Surgery providers in Colorado →

Registry record

NPI: 1740623081
Entity type: Organization
NPI issued: 16 Apr 2013
Record last updated: 16 Apr 2013

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.