DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP CHARLES MARIN, MD

Active Sole Proprietor

PHILIP CHARLES MARIN, MD is a Plastic Surgery healthcare provider located in PUEBLO, Colorado. NPI 1205868544 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · PUEBLO, CO

Registration Details

NPI Number
1205868544
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.080532793633 yrs)
Last Updated
Apr 5, 2023
Licenses
0040500 (CO)
40500 (CO)
40500 (CO)
Sole Proprietor
Yes

Practice Information

Address
1304 N GRAND AVE
PUEBLO, CO, 810032718
Browse CO providers · Browse ZIP 81003
Phone
7196698487
Fax
7196698488
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Plastic Surgery
Additional Specialty
Surgery of the Hand (Plastic)

Other Plastic Surgery Providers in PUEBLO, CO

Name Credential NPI
CHARLES WILLIS KESSLER MD 1013949288
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.