| NPI | 1144670597 |
|---|---|
| Doing Business As | PLASTIC SURGERY CENTER OF STOCKTON |
| Entity Type | Organization |
| Authorized Contact | NATHAN ANDREW KLUDT President 209-870-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A110013) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |