Organization
MILE HIGH PLASTIC SURGERY A PROFESSIONAL LLC
Active
Other names
Aura Skin and Plastic Surgery, Mile High Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ROESNER D.O. (SOLE MEMBER)
(303) 552-1996
Entity
Organization
Contact information
Practice address
2595 CANYON BLVD STE 360, BOULDER, CO 80302-6745
(303) 440-7546
Mailing address
8186 E 28TH DR, DENVER, CO 80238-2515
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
DR-50492
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97705578
—
CO
Enumeration date
02/27/2012
Last updated
10/20/2021
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