Mario J Imola in Englewood - Facial Plastic Surgery
Mario J Imola - NPI 1932101490
Mario J Imola is a Facial Plastic Surgery in Englewood, Colorado. Mario J Imola practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Mario J Imola is 1932101490. The last update date is 2011-10-17.
Mario J Imola's current location address is 3600 S Logan St, Englewood, Colorado. You can contact this provider via phone number 3038397980 and fax number 3038397936. The mailing address for Mario J Imola is 3600 S Logan St, Englewood, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario J Imola |
|---|---|
| Address | 3600 S Logan St, Englewood, Colorado |
| Phone Number | 3038397980 |
| Fax Number | 3038397936 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932101490 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2011-10-17 |
Provider Mailing Address Detail
| Address | 3600 S Logan St |
|---|---|
| City | Englewood |
| State | Colorado (CO) |
| Post Code | 801133766 |
| Phone Number | 3038397980 |
| Fax Number | 3038397936 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 38335 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 841553144 | CO | TAX ID | |
| 117142900 | WY | -- | |
| 95739831 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mario J Imola by the Centers for Medicare & Medicaid Services?
The Mario J Imola has been assigned the NPI (National Provider Identifier) 1932101490 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mario J Imola is geographically located?
The Mario J Imola is physically situated at the following location: 3600 S Logan St, Englewood, CO, 801133766.
What is Mario J Imola's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mario J Imola is Facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Ys0123X.
On what date was the 1932101490 assigned to Mario J Imola?
The Mario J Imola was issued its 1932101490 on 2005-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mario J Imola most recently updated?
The details pertaining to the Mario J Imola, including its address, specialty, and other relevant information, were last refreshed on 2011-10-17.