| NPI | 1366930299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA STEVENSON President 717-421-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101263805) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-09-19 |