| NPI | 1124396544 |
|---|---|
| Other Name | VALLEY PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALEXIS ALLISON TRACY Physician 304-520-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2025-05-20 |