| NPI | 1356527477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FRANCIS PAUL Owner 563-359-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA 33897) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: IA 07454) |
| 174400000X Specialist (Licence: IA 33897) | |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-02-01 |