# ASCENT AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790217495
- **Authorized official:** DR. RAE WEBER D.O. (CEO)
- **Authorized official phone:** (719) 464-6752

## Contact information

- **Practice address:** 1330 QUAIL LAKE LOOP STE 260, COLORADO SPRINGS, CO 80906-4651
- **Practice address phone:** (719) 464-6752
- **Mailing address:** 1330 QUAIL LAKE LOOP STE 260, COLORADO SPRINGS, CO 80906-4651
- **Mailing address phone:** (719) 464-6752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0051917 | CO | Yes |

## Other

- **Enumeration date:** 03/31/2017
- **Last updated:** 03/31/2017