25/34 Plastic Surgery Associates, PC

NPI #1811142524 in Johnstown, Colorado

Provider Information

NPI Number: 1811142524
Entity Type: Organization
Organization Name: 25/34 Plastic Surgery Associates, PC
Primary Specialty: Specialist
Enumeration Date: Nov 21, 2008
Last Updated: Nov 21, 2008

Practice Location

Address: 4450 UNION ST.
Address 2: SUITE 100
City: Johnstown
State: Colorado
ZIP Code: 80534-0001
Phone: (970) 624-7979

Authorized Official

Name: DR. DENIS L GONYON JR., MD
Title: OWNER
Phone: (970) 624-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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