Mouchantat Plastic Surgery PC
NPI #1255502753 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1255502753
- Entity Type
- Organization
- Organization Name
- Mouchantat Plastic Surgery PC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 12, 2008
- Last Updated
- Sep 17, 2015
Practice Location
- Address
- 3280 WADSWORTH BLVD
- Address 2
- SUITE 100
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-4640
- Phone
- (303) 232-8585
Authorized Official
- Name
- RICHARD A MOUCHANTAT, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (303) 232-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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