# DENVER COSMETIC SURGERY, PLLC

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

## Provider details

- **NPI number:** 1982932299
- **Authorized official:** DR. EDMON KHOURY M.D. (MEMBER MANAGER)
- **Authorized official phone:** (303) 803-1000

## Contact information

- **Practice address:** 9777 S. YOSEMITE ST, SUITE 200, LONE TREE, CO 80124-3191
- **Practice address phone:** (303) 803-1000
- **Practice address fax:** (720) 475-8472
- **Mailing address:** 5096 TEN MILE PL, CASTLE ROCK, CO 80108-8837
- **Mailing address phone:** (720) 375-0352
- **Mailing address fax:** (720) 475-8472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | DR-48333 | CO | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 11/24/2009