Individual
RICHARD A MOUCHANTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 80033-4628
(303) 232-8585
(303) 232-3304
Mailing address
3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 80033-4628
(303) 232-8585
(303) 232-3304
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0033783
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01337831
—
CO
Enumeration date
07/20/2006
Last updated
02/21/2023
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