| NPI | 1275562910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BILL MAYFIELD Sole Member 513-856-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35-059939) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-07-14 |