Whalio Doctors

NPI 1205868544

Philip Charles Marin, MD

Practitioner Plastic Surgery Physician Pueblo, CO

Practice location

Address
1304 N Grand Ave, Pueblo, CO 81003-2718
Phone
(719) 669-8487
Fax
(719) 669-8488

Registered specialties (3)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 40500 (CO)
Plastic and Reconstructive Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 0040500 (CO)
Surgery of the Hand (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 40500 (CO)

Registry record

NPI
1205868544
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2006
Record last updated
5 Apr 2023

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.