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PHILIP C. MARIN MD PROF LLC NPI 1497934558


NPI Information

NPI: 1497934558
Provider Name: PHILIP C. MARIN, MD PROF LLC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
650 DITTMER AVE
PUEBLO, CO
ZIP 81005
Phone: (719) 565-1000
Get Directions

PHILIP C. MARIN, MD PROF LLC is a plastic surgery in Pueblo, CO. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PHILIP C. MARIN, MD PROF LLC NPI is 1497934558. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

650 DITTMER AVE
PUEBLO, CO
ZIP 81005-212
Phone: (719) 565-1000
Fax: (719) 565-1111

The provider's authorized official is Philip C. Marin .
The authorized official title is Owner and has the following contact phone number (719) 565-1000.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12082S0105XPlastic SurgerySurgery of the Hand40500COLORADONo
2208200000XPlastic Surgery40500COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1801605MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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