Organization
COLORADO PLASTIC AND RECONSTRUCTIVE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ENDRESS MD (PRESIDENT PHYSICIAN)
(720) 853-5791
Entity
Organization
Contact information
Practice address
10535 PARK MEADOWS BLVD STE 350, LONE TREE, CO 80124-8401
(720) 853-5791
Mailing address
10535 PARK MEADOWS BLVD STE 350, LONE TREE, CO 80124-8401
(720) 853-5791
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Enumeration date
09/28/2021
Last updated
11/10/2023
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