Rocky Mountain Cosmetic & Reconstructive Surgery Assoc, P.c.
NPI #1245473586 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1245473586
- Entity Type
- Organization
- Organization Name
- Rocky Mountain Cosmetic & Reconstructive Surgery Assoc, P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 16, 2009
- Last Updated
- Nov 14, 2013
Practice Location
- Address
- 3280 WADSWORTH BLVD
- Address 2
- SUITE 100
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-4628
- Phone
- (303) 985-3303
Authorized Official
- Name
- VIRGINIA L LILJESTRAND, MA
- Title
- OFFICE MANAGER
- Phone
- (303) 985-3303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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