| NPI | 1316101876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TODD STOECKEL Plastic Surgeon 919-600-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 200701681) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-08-06 |