Healthcare Provider Details

I. General information

NPI: 1396755534
Provider Name (Legal Business Name): RESTORATION PLASTIC SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12207 PECOS ST SUITE 300
WESTMINSTER CO
80234-3892
US

IV. Provider business mailing address

12207 PECOS ST SUITE 300
WESTMINSTER CO
80234-3892
US

V. Phone/Fax

Practice location:
  • Phone: 303-466-3261
  • Fax: 303-466-3674
Mailing address:
  • Phone: 303-466-3261
  • Fax: 303-466-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL FREMLING
Title or Position: OWNER
Credential: M.D.
Phone: 303-466-3261