Organization Name: | ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C. |
NPI Number: | 1245473586 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIRGINIA L LILJESTRAND (OFFICE MANAGER) |
Mailing Address: | 3280 Wadsworth Blvd Suite 100 Wheat Ridge |
State: | CO US |
Postal Code: | 800334628 |
Phone Number: | 3039853303 |
Fax Number: | 3032323304 |
NPI Enumeration Date: | 04/16/2009 |
NPI Last Update Date: | 11/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |