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PHILIP C. MARIN, MD PROF LLC
NPI 1497934558
Plastic Surgery in Pueblo, CO

Active since October 25, 2007
650 DITTMER AVE, PUEBLO, CO 81005(719) 565-1000(719) 565-1111 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip C. Marin, Md Prof Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP C. MARIN, MD PROF LLC (NPI 1497934558) is a healthcare organization registered as a plastic surgery in Pueblo, Colorado and active in the NPI registry since October 2007. The organization lists Philip C. Marin, Owner, as its authorized official.

NPPES Registry Identity

NPI1497934558
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePHILIP C. MARIN, MD PROF LLC
Location Address650 DITTMER AVEPueblo, CO 81005-1212
Mailing Address650 Dittmer AvePueblo, CO 81005-1212 · (719) 565-1000 · Fax (719) 565-1111
Phone(719) 565-1000
Fax(719) 565-1111
Organization SubpartNo
Authorized OfficialPhilip C. MarinOwner · (719) 565-1000
Enumeration DateOctober 25, 2007
✔ NPI 1497934558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CO · 40500
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.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 40500 (CO)
650 DITTMER AVE, Pueblo, CO 81005
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Other Identifiers 1

Medicare PIN801605CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES W. GARLAND D.O. LLC
Anesthesiology
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (719) 565-2000
JAMES W MCCANLESS MD
Anesthesiology
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (719) 565-2000
CROSSOVER HEALTH MEDICAL GROUP
Specialist
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (866) 271-3589

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip C. Marin, MD Prof LLC's NPI number?

The NPI number for Philip C. Marin, MD Prof LLC is 1497934558. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Philip C. Marin, MD Prof LLC located?

Philip C. Marin, MD Prof LLC is located at 650 Dittmer Ave, Pueblo, CO 81005. The listed phone number is (719) 565-1000.

What is Philip C. Marin, MD Prof LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Philip C. Marin, MD Prof LLC was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.