GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.

EDMOND, OK
NPI1174793277
Entity TypeOrganization
Authorized ContactJAYESH PANCHAL
Physician
405-340-9949
Organization Subpart ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: OK  20347)
Enumeration Date2008-03-04
Last Update Date2011-11-29
Business Address
GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.
2505 S KELLY AVE
EDMOND, OK 73013
Phone number: 405-340-9949
Mailing Address
GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.
2505 S KELLY AVE
EDMOND, OK 73013-5796
Phone number: 405-340-9949
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