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Organization
VAIL PLASTIC & COSMETIC SURGERY CENTER
Active
Organization
VAIL PLASTIC & COSMETIC SURGERY CENTER
Active
Other names
Mangat Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVINDER S MANGAT M.D. (PRESIDENT)
(970) 766-3223
Entity
Organization
Contact information
Practice address
56 EDWARDS VILLAGE BOULEVARD, #226, EDWARDS, CO 81632-7804
(970) 766-3223
(970) 766-3225
Mailing address
56 EDWARDS VILLAGE BOULEVARD, #226, EDWARDS, CO 81632-7804
(970) 766-3223
(970) 766-3225
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
NULL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
33471
CO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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