| NPI | 1053428409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES FEALY President 805-579-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2012-11-06 |