Organization
MOUCHANTAT PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MOUCHANTAT (PRESIDENT)
(303) 232-8585
Entity
Organization
Contact information
Practice address
3280 WADSWORTH BLVD STE 100, WHEAT RIDGE, CO 80033-4640
(303) 232-8585
(720) 772-5770
Mailing address
3280 WADSWORTH BLVD STE 100, WHEAT RIDGE, CO 80033-4640
(303) 232-8585
(720) 772-5770
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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