Organization
MOUCHANTAT PLASTIC SURGERY PC
Active
Other names
John M Pav MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MOUCHANTAT M.D. (PHYSICIAN/OWNER)
(303) 232-8585
Entity
Organization
Contact information
Practice address
3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 80033-4640
(303) 232-8585
(303) 232-3304
Mailing address
3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 80033-4640
(303) 232-8585
(303) 232-3304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
09/17/2015
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