Organization
PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN PHILIP PAYEA II M.D. (OWNER)
(303) 232-0310
Entity
Organization
Contact information
Practice address
8805 W 14TH AVE, SUITE 316, LAKEWOOD, CO 80215-4848
(303) 232-0310
(303) 232-0312
Mailing address
8805 W 14TH AVE, SUITE 316, LAKEWOOD, CO 80215-4848
(303) 232-0310
(303) 232-0312
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0022517
CO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
0022517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01225176
—
CO
Enumeration date
02/16/2017
Last updated
02/16/2017
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