NPI | 1306129069 |
---|---|
Entity Type | Organization |
Authorized Contact | TAD REEVE HEINZ President 719-578-1112 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 37801) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |