Organization
FACIAL PLASTIC SURGERY CENTER OF COLORADO SPRINGS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDREW DALSASO MD (ONWER)
(719) 632-5020
Entity
Organization
Contact information
Practice address
6 ELM AVE STE 150, COLORADO SPRINGS, CO 80906-3131
(719) 632-5020
(195) 205-4887
Mailing address
6 ELM AVE STE 103, COLORADO SPRINGS, CO 80906-3130
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
37351
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39155285
—
CO
Enumeration date
12/09/2005
Last updated
11/05/2020
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