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Philip Charles Marin, MD
Surgery of the Hand (Plastic Surgery) Physician in Pueblo, Colorado
NPI 1205868544

Philip Charles Marin is a Surgery of the Hand (Plastic Surgery) Physician based in Pueblo, CO and is specialized in Surgery of the Hand. Philip Charles Marin practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Philip Charles Marin is 1205868544 and holds a License No. 0040500 (Colorado).

The current practice location address for Philip Charles Marin is 1304 N Grand Ave, Pueblo, CO and can be reached out via phone at 719-669-8487 and via fax at 719-669-8488.

Location: 1304 N Grand Ave, Pueblo, CO, 81003-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205868544
Provider Name
Philip Charles Marin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1304 N Grand Ave, Pueblo, CO, 81003-2718
Phone Number
719-669-8487
Fax Number
719-669-8488
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61101 01 HUMANA GOLD
00073 01 HMO CO
P00213540 01 MEDICARE RAILROAD
TDDIR 01 TRICARE
00320 01 INSURANCE
MA65799 01 CO BLUE CROSS BLUE SHIELD
71412 01 UNITED OF OMAHA
institution
Provider Business Practice Location Address Details
Address
1304 N Grand Ave
City
Pueblo
State
Colorado
Zip
81003-2718
Phone Number
719-669-8487
Fax Number
719-669-8488
person
Provider Business Mailing Address Details
Address
1304 N Grand Ave
City
Pueblo
State
Colorado
Zip
81003-2718
Phone Number
719-669-8487
Fax Number
719-669-8488
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
40500 (Colorado)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
40500 (Colorado)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
0040500 (Colorado)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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