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Individual

THOMAS DALSASO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 ELM AVE STE 150, COLORADO SPRINGS, CO 80906-3131
(719) 632-5020
(719) 520-5488
Mailing address
6 ELM AVE STE 150, COLORADO SPRINGS, CO 80906-3131
(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
63931087
CO
Enumeration date
12/13/2005
Last updated
11/05/2020
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