Organization
DENVER COSMETIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMON KHOURY M.D. (MEMBER MANAGER)
(303) 803-1000
Entity
Organization
Contact information
Practice address
9777 S. YOSEMITE ST, SUITE 200, LONE TREE, CO 80124-3191
(303) 803-1000
(720) 475-8472
Mailing address
5096 TEN MILE PL, CASTLE ROCK, CO 80108-8837
(720) 375-0352
(720) 475-8472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DR-48333
CO
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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