Organization Name: | ROCKY MOUNTAIN PLASTIC SURGERY P.C. |
NPI Number: | 1104959956 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATIE DEHM (MANAGER) |
Mailing Address: | 1830 Blake Ave Suite 207 Glenwood Springs |
State: | CO US |
Postal Code: | 816014261 |
Phone Number: | 9709451144 |
Fax Number: | 9709459138 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 36386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |