person
Mario J Imola, MD
Facial Plastic Surgery Physician in Englewood, Colorado
NPI 1932101490

Mario J Imola is a Facial Plastic Surgery Physician based in Englewood, CO and is specialized in Facial Plastic Surgery. Mario J Imola practices in Englewood, CO and has the professional credentials of MD. The NPI Number for Mario J Imola is 1932101490 and holds a License No. 38335 (Colorado).

The current practice location address for Mario J Imola is 3600 S Logan St, Englewood, CO and can be reached out via phone at 303-839-7980 and via fax at 303-839-7936.

Location: 3600 S Logan St, Englewood, CO, 80113-3766
person
Provider Profile Details
NPI Number
1932101490
Provider Name
Mario J Imola
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3600 S Logan St, Englewood, CO, 80113-3766
Phone Number
303-839-7980
Fax Number
303-839-7936
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
841553144 01 CO TAX ID
117142900 05 WY
95739831 05 CO
institution
Provider Business Practice Location Address Details
Address
3600 S Logan St
City
State
Zip
80113-3766
Phone Number
303-839-7980
Fax Number
303-839-7936
person
Provider Business Mailing Address Details
Address
3600 S Logan St
City
State
Zip
80113-3766
Phone Number
303-839-7980
Fax Number
303-839-7936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
38335 (Colorado)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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