| NPI | 1104470699 |
|---|---|
| Doing Business As | MED CENTER HEALTH PLASTIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | RONALD GENE SOWELL Exec. Vice President/CFO 270-745-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |