NPI | 1225129570 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM EDWARD WEBER President & Chair Of Governing Body 812-336-6060 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 50003776A) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |