Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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PHILIP CHARLES MARIN MD

Surgery Yellow Pages

Pueblo, Colorado

Provider NPI: 1205868544

Provider Information:
 PHILIP CHARLES MARIN MD


Practice Location:
650 DITTMER AVENUE  PUEBLO, CO 81005 US
Tel: 719-565-1000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XPhysicians
Plastic Surgery
CO40500
N2082S0105XPhysicians
Plastic Surgery
CO40500

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELDMA65799CO01
MEDICARE RAILROADP0021354001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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