| 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 |