| NPI | 1184239154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN HUGH BAILEY Owner 877-402-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-07-26 |