Mile High Plastic Surgery a Professional LLC

NPI #1982978797 in Boulder, Colorado

Provider Information

NPI Number
1982978797
Entity Type
Organization
Organization Name
Mile High Plastic Surgery a Professional LLC
Primary Specialty
Plastic Surgery
Enumeration Date
Feb 27, 2012
Last Updated
Oct 20, 2021

Practice Location

Address
2595 CANYON BLVD STE 360
ZIP Code
80302-6745
Phone
(303) 440-7546

Authorized Official

Name
NATHAN ROESNER, D.O.
Title
SOLE MEMBER
Phone
(303) 552-1996

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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