Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philip Charles Marin, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1205868544

Philip Charles Marin, MD is a Plastic and Reconstructive Surgery in Pueblo, Colorado. Graduated from University of North Dakota School of Medicine in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
32
Trained at
University of North Dakota School of Medicine
Licensed in
CO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1304 N Grand Ave
Pueblo, CO 81003-2718
Phone: (719) 669-8487
Fax: (719) 669-8488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 40500 (CO)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 0040500 (CO)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 40500 (CO)

Record details

NPI number1205868544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESApril 5, 2023
Certification dateMarch 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pueblo