# VAIL PLASTIC & COSMETIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mangat Plastic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437436201
- **Authorized official:** DR. DEVINDER S MANGAT M.D. (PRESIDENT)
- **Authorized official phone:** (970) 766-3223

## Contact information

- **Practice address:** 56 EDWARDS VILLAGE BOULEVARD, \#226, EDWARDS, CO 81632-7804
- **Practice address phone:** (970) 766-3223
- **Practice address fax:** (970) 766-3225
- **Mailing address:** 56 EDWARDS VILLAGE BOULEVARD, \#226, EDWARDS, CO 81632-7804
- **Mailing address phone:** (970) 766-3223
- **Mailing address fax:** (970) 766-3225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 33471 | CO | Yes |

## Other

- **Enumeration date:** 11/08/2011
- **Last updated:** 11/08/2011
