| NPI | 1235307265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD LINDSAY Administrator 541-480-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD18444) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |