| NPI | 1154999555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA VIRES Billing Manager 412-262-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-07-08 |