Organization
25/34 PLASTIC SURGERY ASSOCIATES, PC
Active
Other names
Gonyon Cosmetic & Plastic Surgery, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIS L GONYON JR. MD (OWNER)
(970) 624-7979
Entity
Organization
Contact information
Practice address
4450 UNION ST., SUITE 100, JOHNSTOWN, CO 80534-0001
(970) 624-7979
(970) 624-7980
Mailing address
4450 UNION ST., SUITE 100, JOHNSTOWN, CO 80534
(970) 624-7979
(970) 624-7980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12683027
—
CO
Enumeration date
11/21/2008
Last updated
11/21/2008
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