NPI | 1023060779 |
---|---|
Former Legal Business Name | BRAGDON-STOFMAN PLASTIC SURGERY GROUP PC |
Entity Type | Organization |
Authorized Contact | ROBERT W BRAGDON President 412-572-6164 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Enumeration Date | 2006-05-17 |
Last Update Date | 2016-02-18 |