| NPI | 1265742225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E MCKEOWN President/Owner 804-288-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101042576) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |