| NPI | 1346808508 |
|---|---|
| Doing Business As | USA SURGERY - RECONSTRUCTIVE PLASTIC |
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |